Jacklyn Elizabeth Ellison in Kirksville - Professional
Jacklyn Elizabeth Ellison - NPI 1285823278
Jacklyn Elizabeth Ellison is a Professional in Kirksville, Missouri. Jacklyn Elizabeth Ellison practices all healthcare services and medical treatments related to Professional. The NPI Number for Jacklyn Elizabeth Ellison is 1285823278. The last update date is 2007-11-05.
Jacklyn Elizabeth Ellison's current location address is 900 E Laharpe St, Kirksville, Missouri. You can contact this provider via phone number 6606651962 and fax number 6606653989. The mailing address for Jacklyn Elizabeth Ellison is 900 E Laharpe St, Kirksville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacklyn Elizabeth Ellison |
|---|---|
| Address | 900 E Laharpe St, Kirksville, Missouri |
| Phone Number | 6606651962 |
| Fax Number | 6606653989 |
| Sole Proprietor | Y |
| Credentials | MSW, CADC, |
NPI Number Detail
| NPI Number | 1285823278 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 900 E Laharpe St |
|---|---|
| City | Kirksville |
| State | Missouri (MO) |
| Post Code | 635014520 |
| Phone Number | 6606651962 |
| Fax Number | 6606653989 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2006021234 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code issued to Jacklyn Elizabeth Ellison by the Centers for Medicare & Medicaid Services?
The Jacklyn Elizabeth Ellison has been assigned the NPI (National Provider Identifier) 1285823278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jacklyn Elizabeth Ellison's physical address?
The Jacklyn Elizabeth Ellison is physically located at 900 E Laharpe St, in the city of Kirksville, MO, with the postal code 635014520.
What is the Jacklyn Elizabeth Ellison's area of specialization and corresponding taxonomy classification?
The Jacklyn Elizabeth Ellison's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Jacklyn Elizabeth Ellison receive its 1285823278 assignment from the Centers for Medicare & Medicaid Services?
The Jacklyn Elizabeth Ellison was assigned its 1285823278 by the Centers for Medicare & Medicaid Services on 2007-10-16.
As of what date were the Jacklyn Elizabeth Ellison's details last updated?
The information pertaining to the Jacklyn Elizabeth Ellison, including its address, specialty, and other details, was most recently updated on 2007-11-05.