MR. JARMAINE LEE ELLIS (NPI# 1306000310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306000310 |
Entity Type | Individual |
Full Name | MR. JARMAINE LEE ELLIS |
Other Name | MR. JARMAINE LEE ELLIS |
Credential | LPN |
Practice Address |
4533 N 67th Street Milwaukee WI 53218 |
Practice Telephone | 4144612977 |
Practice Fax Number | 4144612977 |
Mailing Telephone | 4144612977 |
Mailing Fax Number | 4144612977 |
Enumeration Date | 2008-07-18 |
Last Update Date | 2008-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SL0600X |
Clinical Nurse Specialist Specialization: Long-Term Care |
306353-031 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4533 N 67TH STREET |
City | MILWAUKEE |
State | WI |
Zip Code | 53218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588828594 | Katrina Karetha Ellis | Clinical Nurse Specialist | 4533 N 67th Street, Milwaukee, WI 53218 | 2008-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
Find all providers in zip 53218 |
Taxonomy Code | 364SL0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Long-Term Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588828594 | Katrina Karetha Ellis | Clinical Nurse Specialist | 4533 N 67th Street, Milwaukee, WI 53218 | 2008-07-18 |
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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.