MRS. JEANNETTE K. ELLIS (NPI# 1336388040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336388040 |
| Entity Type | Individual |
| Full Name | MRS. JEANNETTE K. ELLIS |
| Credential | REGISTERED NURSE |
| Practice Address |
795 Ross Clark Cir Dothan AL 36303-5351 |
| Practice Telephone | 3346996600 |
| Practice Fax Number | 3346992156 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1033239 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831396613 | Jeannette Ellis | Counselor | 400 Tenney Ave Ste 118, Amherst, OH 44001-2268 | 2007-06-27 |
| Street Address |
795 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629221734 | Jennifer L. Wesley | Audiologist | 795 Ross Clark Cir, Dothan, AL 36303-5351 | 2008-11-03 |
| 1750822870 | Jordan Byrd | Audiologist | 795 Ross Clark Cir, Suite 3, Dothan, AL 36303-5304 | 2017-03-09 |
| 1558501288 | Mary Elizabeth Faulk | Registered Nurse | 795 Ross Clark Cir, Dothan, AL 36303-5351 | 2009-02-20 |
| 1558500272 | Candace Mitchell | Dietitian, Registered | 795 Ross Clark Cir, Dothan, AL 36303-5351 | 2009-02-19 |
| 1083853923 | Ann B. Weed | Speech-Language Pathologist | 795 Ross Clark Cir, Dothan, AL 36303-5351 | 2009-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
|---|---|---|---|---|
| 1922641158 | Miranda Williams | Registered Nurse | 2800 Ross Clark Cir Ste 3, Dothan, AL 36301-9900 | 2019-10-21 |
| 1629629852 | Ashley Nicole Thomas | Registered Nurse | 3138 Ross Clark Cir, Dothan, AL 36303-3038 | 2019-09-29 |
| 1295276350 | Natalie Clark Gowen | Registered Nurse | 322 Halifax Dr, Dothan, AL 36305-3145 | 2017-03-09 |
| 1700243367 | Carrie Hanna Kelly | Registered Nurse | 89 Battles Rd, Dothan, AL 36301-8966 | 2016-01-26 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1487844940 | Rebecca Sue Brem | Registered Nurse | 502 Bronco Cir, Dothan, AL 36301-3901 | 2007-07-30 |
| 1811597073 | Michael Brian Pierce | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-10-27 |
| 1871112235 | Brian Sherman | Registered Nurse | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2020-04-15 |
| 1437792116 | Sara Carroll Krystyn | Registered Nurse | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2019-10-24 |
| 1467017335 | Keaton Peak | Registered Nurse | 1108 Ross Clark Cir, Dothan, AL 36301 | 2019-05-07 |
| Find all providers in DOTHAN | ||||
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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.