MISS JESSICA ERIN ELLIS (NPI# 1356529358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356529358 |
| Entity Type | Individual |
| Full Name | MISS JESSICA ERIN ELLIS |
| Other Name | MISS JESSICA ERIN ELLIS |
| Credential | R.N. |
| Practice Address |
500 Bethany Woods Dr Temple GA 30179-3574 |
| Mailing Address |
306 Pelham St Chickasaw AL 36611-2410 |
| Practice Telephone | 2059024928 |
| Mailing Telephone | 2059024928 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-107940 | AL | Nursing Service Providers |
| Y | 163W00000X | Registered Nurse | RN189320 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081081 | Jessica Ann Ellis | Registered Nurse | 3910 Ashwood Dr, Pearland, TX 77584-9200 | 2020-04-14 |
| 1003289950 | Jessica Lynn Ellis | Licensed Practical Nurse | 414 Linden Pl, Elmira, NY 14901-1622 | 2015-11-01 |
| 1851775704 | Jessica Ellis | Counselor | 2132 S 12th St Ste 103, Allentown, PA 18103-4814 | 2015-07-09 |
| 1114487188 | Jessica Marie Ellis | Counselor | 1450 Madison Ave, Covington, KY 41011-3369 | 2019-03-25 |
| 1407348295 | Jessica Ellis | Behavior Technician | 5304 Hollyridge St, North Las Vegas, NV 89081-4000 | 2018-06-06 |
| 1255849832 | Jessica Ellis | Registered Nurse | 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 | 2018-01-17 |
| 1124571690 | Jessica Ellis | Speech-Language Pathologist | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 | 2016-08-01 |
| 1962850800 | Jessica J Ellis | Dental Hygienist | 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 | 2016-06-01 |
| 1851768907 | Jessica Ellis | Pharmacist | 322 Brownsville Loop, Lonoke, AR 72086-9348 | 2015-08-25 |
| 1861893380 | Jessica Anne Ellis | Counselor | 1590 Crestview Dr, Ashland, OH 44805-3560 | 2014-09-16 |
| Street Address |
500 BETHANY WOODS DR |
| City | TEMPLE |
| State | GA |
| Zip Code | 30179-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649717083 | Thomas Jackson Fowler II | Pharmacist | 488 Carrollton Street, Temple, GA 30179 | 2017-01-24 |
| 1184982605 | Gina Ann Canuel | Speech-Language Pathologist | 64 North Ave, Temple, GA 30179 | 2012-05-03 |
| 1740556620 | Natalie Brittain | Speech-Language Pathologist | 146 Morningview Dr, Temple, GA 30179 | 2012-03-26 |
| 1912434168 | Sarah President | Nurse Practitioner | 431 Sage St, Temple, GA 30179-3726 | 2017-05-18 |
| 1750608014 | Kristy Dawn Drummond | Counselor | 305 Carrollton St, Temple, GA 30179-3796 | 2010-04-27 |
| 1124433768 | Total Care Family Medicine PC | Family Medicine | 305 Carrollton St, Temple, GA 30179-3796 | 2014-06-23 |
| 1942226196 | Temple Pharmacy, Inc. | Pharmacy | 285 Sage St, Temple, GA 30179-3846 | 2006-07-14 |
| 1215115134 | Adra Faith Smith | Pharmacist | 285 Sage St, Temple, GA 30179-3846 | 2008-02-01 |
| 1790336766 | Stephanie Harris | Speech-Language Pathologist | 514 Willow Creek Dr, Temple, GA 30179-3972 | 2019-09-21 |
| 1801053129 | Duane Edward Cox | Dentist | 486 Long Branch Rd, Temple, GA 30179-4012 | 2008-05-22 |
| Find all providers in zip 30179 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545324 | Cecilia Rene Johnson | Registered Nurse | 6099 Old Howard Rd, Temple, TX 76504-4826 | 2020-07-14 |
| 1497372023 | Emma Larson | Registered Nurse | 907 Patriot Ct, Temple, TX 76502-6067 | 2020-06-30 |
| 1184240244 | Victor Momanyi | Registered Nurse | 716 Evergreen Farm Dr, Temple, TX 76502-5359 | 2020-06-24 |
| 1972127736 | Jordan Yates | Registered Nurse | 764 Marlandwood Rd Apt 422, Temple, TX 76502-3649 | 2020-06-07 |
| 1790309839 | Khushbu R Patel | Registered Nurse | 2012 S 31st St Apt 9302, Temple, TX 76504-7170 | 2020-06-04 |
| 1992328660 | Jenna Elizabeth Chatham | Registered Nurse | 1814 Ridgeway, Temple, TX 76502-5236 | 2020-05-28 |
| 1801417159 | Marylisa Fanning | Registered Nurse | 1615 Neuberry Cliffe, Temple, TX 76502-5483 | 2020-04-28 |
| 1689209983 | Brandy Michelle Rangel | Registered Nurse | 3205 W Avenue T, Temple, TX 76504-6864 | 2020-03-06 |
| 1265071732 | Samantha Mae Rockholt | Registered Nurse | 9727 Tully Weary Ln, Temple, TX 76502-4071 | 2020-01-02 |
| 1396382800 | Alix Andrea Snyder | Registered Nurse | 1905 Curtis B Elliott Dr, Temple, TX 76501-4788 | 2019-12-03 |
| Find all providers in TEMPLE | ||||
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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.