JEANNE M ELLERN


Address: 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444
Phone: 5094567414

JEANNE M ELLERN (NPI# 1689636649) 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) 1689636649
Entity Type Individual
Full Name JEANNE M ELLERN
Credential PAC
Practice Address 1807 N Hutchinson Rd
Spokane Valley
WA 99212-2444
Practice Telephone 5094567414
Practice Fax Number 5096240763
Mailing Telephone 5094567414
Mailing Fax Number 5096240763
Enumeration Date 2006-04-05
Last Update Date 2014-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA10003760 WA Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10003760 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1807 N HUTCHINSON RD
City SPOKANE VALLEY
State WA
Zip Code 99212-2444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184699365 Joel K Sears Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-02-21
1619517539 Mountain West Derm - Blackhart Pllc Clinic/Center 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2020-01-08
1013557933 Mountain West Derm - Blackhart Pllc Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2020-01-08
1477853760 Thomas M Ryan, Md Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2010-11-02
1710213558 Kathleen R Lejameyer Nurse Practitioner 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2009-10-29
1467673061 Chadd Sukut Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2007-05-01
1154408631 Elizabeth Joan Jacobsen Physician Assistant 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-11-01
1215023007 Andrea Mead Dominey Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-10-05
1972579845 Advanced Dermatology and Skin Surgery Pllc Clinical Medical Laboratory 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-02-28
1881660751 Advanced Dermatology and Skin Surgery, Pllc Dermatology 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750889580 Melissa Lerai Lunsford Massage Therapist 1212 N Argonne Rd, Spokane Valley, WA 99212 2018-01-26
1225558539 Paul James Hammerschmidt Licensed Practical Nurse 5600 E. 8th Avenue, Spokane Valley, WA 99212 2017-06-27
1497009302 Ray A Schoessler Pharmacist 9009 E Trent Ave, Spokane, WA 99212 2012-10-30
1215205224 Wchs Inc Counselor 4305 East Trent Avenue, Spokane, WA 99212 2011-12-05
1609159466 Andrey V Altukhov Specialist 906 S. Park Rd, Spokane Valley, WA 99212 2011-09-27
1215189808 Providence Health & Services - Wa Home Health 1000 N Argonne Rd, Spokane Valley, WA 99212 2008-10-15
1568674414 Colleen Kirsten Monroe Pharmacist 5601 E Sprague, Spokane, WA 99212 2007-05-04
1205968534 Jeremiah Michael Stevens Naturopath 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 2007-03-12
1104957547 Lyudmila Larkin Specialist 8120 E. Vista Lane, Spokane, WA 99212 2007-03-08
1972613511 Costco Wholesale Corporation Pharmacy 5601 E Sprague Ave, Spokane Valley, WA 99212 2006-08-30
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447269923 Nathaniel Van Valin Physician Assistant 15425 E Mission Ave, Spokane Valley, WA 99037-9505 2006-08-05
1467970616 Jesus Primitivo Rendon Physician Assistant 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216 2017-09-07
1982121125 Christian D Garrido Physician Assistant 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216-1665 2017-08-28
1568864841 Chris Palmer Physician Assistant 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 2014-09-18
1407280704 Kevin Bichler Physician Assistant 12418 E Saltese Ave, Spokane Valley, WA 99216-0357 2013-08-23
1811226962 Kevin R Bichler Physician Assistant 12418 E Saltese Ave, Spokane Valley, WA 99216 2009-12-21
1881921211 Amelia D Williams Physician Assistant 12401 E Sinto Ave, Spokane Valley, WA 99216-1081 2009-11-05
1548411770 Kristofer K Johnson Physician Assistant 12606 E Mission Ave, Spokane Valley, WA 99216-3421 2008-10-07
1972754083 Brian L Knutson Physician Assistant 9227 E Main Ave, Spokane Valley, WA 99206-3768 2008-10-07
1154408631 Elizabeth Joan Jacobsen Physician Assistant 1807 N Hutchinson Rd, Spokane Valley, WA 99212-2444 2006-11-01
Find all providers in SPOKANE VALLEY

Competitor

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City SPOKANE VALLEY
Zip Code 99212

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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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