Thomas W Ellis in Jackson - Nurse Practitioner

Thomas W Ellis - NPI 1427163039

Thomas W Ellis is a Nurse Practitioner in Jackson, Michigan. Thomas W Ellis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Thomas W Ellis is 1427163039. The last update date is 2007-07-08.

Thomas W Ellis's current location address is 744 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 8665700077 and fax number 2484790652. The mailing address for Thomas W Ellis is 744 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas W Ellis
Address 744 W Michigan Ave, Jackson, Michigan
Phone Number 8665700077
Fax Number 2484790652
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1427163039
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 744 W Michigan Ave
City Jackson
State Michigan (MI)
Post Code 492011909
Phone Number 8665700077
Fax Number 2484790652

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No TE086820
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Thomas W Ellis

What is the unique 10-digit identifier code issued to Thomas W Ellis by the Centers for Medicare & Medicaid Services?

The Thomas W Ellis has been assigned the NPI (National Provider Identifier) 1427163039 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Thomas W Ellis's facilities are geographically located?

The facilities of Thomas W Ellis are physically situated at the following location: 744 W Michigan Ave, Jackson, MI, 492011909.

What is Thomas W Ellis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas W Ellis is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

When did Thomas W Ellis receive its 1427163039 assignment?

The Thomas W Ellis was assigned its 1427163039 on 2006-08-21, which is the date when this unique identifier was issued to the organization.

When was the information related to Thomas W Ellis most recently updated or refreshed?

The details pertaining to the Thomas W Ellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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