JUSTINE S ELLERMAN


Address: 400 Ball Rd, Saint Leonard, MD 20685-2116
Phone: 5167543268

JUSTINE S ELLERMAN (NPI# 1043505324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043505324
Entity Type Individual
Full Name JUSTINE S ELLERMAN
Credential CRNP
Practice Address 400 Ball Rd
Saint Leonard
MD 20685-2116
Mailing Address Po Box 76
Saint Leonard
MD 20685-0076
Practice Telephone 5167543268
Mailing Telephone 5167543268
Enumeration Date 2011-06-14
Last Update Date 2011-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R191521 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 BALL RD
City SAINT LEONARD
State MD
Zip Code 20685-2116

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SAINT LEONARD
Zip Code 20685

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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