JILL ELLSWORTH, FNP-C
Nurse Practitioner
Active
Individual
NPI: 1790145910
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 2016002971 (MO) |
| Nurse Practitioner | 363L00000X | Yes | 2016002971 (MO) |
Frequently Asked Questions
NPI 1790145910 is the National Provider Identifier for JILL ELLSWORTH, FNP-C, a Nurse Practitioner provider located in Ellisville, MO. This NPI was enumerated on March 1, 2016.
JILL ELLSWORTH, FNP-C practices at 16105 MANCHESTER RD, Ellisville, MO 63011.
Quick Facts
- NPI
- 1790145910
- Type
- Individual
- Enumerated
- Mar 1, 2016
- Last Updated
- Nov 10, 2020
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