MRS. JAWANEKA P ELLERSON


Address: 2900 Mcgehee Rd, Montgomery, AL 36111-2151
Phone: 3342803349

MRS. JAWANEKA P ELLERSON (NPI# 1396276127) 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) 1396276127
Entity Type Individual
Full Name MRS. JAWANEKA P ELLERSON
Credential AG NPC
Practice Address 2900 Mcgehee Rd
Montgomery
AL 36111-2151
Mailing Address Po Box 11087
Montgomery
AL 36111-0087
Practice Telephone 3342803349
Practice Fax Number 3342812308
Mailing Telephone 3344811599
Mailing Fax Number 3342812308
Enumeration Date 2017-03-23
Last Update Date 2017-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AG0117043 AL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2900 MCGEHEE RD
City MONTGOMERY
State AL
Zip Code 36111-2151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689651408 Montgomery Aids Outreach, Inc. Clinic/Center 2900 Mcgehee Rd, Montgomery, AL 36111 2005-12-22
1194357707 Mary Frances Felder Dietitian, Registered 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2020-02-11
1578027587 Jennifer G Thompson Social Worker 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2019-01-23
1831681071 Kirstie A Tyson Counselor 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2018-06-04
1679004436 Montgomery Aids Outreach Inc Pharmacy 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2017-03-23
1659821874 Bobby Golden Jr. Licensed Practical Nurse 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2016-10-12
1417407669 Alexa Penn Registered Nurse 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2016-10-12
1164972238 Diane Weil Registered Nurse 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2016-10-12
1023568177 Cassandra Blakely Licensed Practical Nurse 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2016-10-12
1306396478 Kelly Johnston Registered Nurse 2900 Mcgehee Rd, Montgomery, AL 36111-2151 2016-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578922191 Travis A Thompson Dentist 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 2016-02-11
1932579042 Arthur Mazyck Radiology 2159 Woodley Road, Montgomery, AL 36111 2015-10-01
1063823805 Andrea Olofson Pathology 2055 Normandie Dr Ste 214, Montgomery, AL 36111 2014-05-14
1952609505 The Health Care Authority for Baptist Health, An Affiliate of Uabhs Psychiatry & Neurology 4225 Narrow Lane Road, Montgomery, AL 36111 2011-03-07
1801082839 River Region Hospital Psychiatric Hospital 4385 Narrow Lane Road, Montgomery, AL 36111 2007-09-24
1942330568 Jefferson Underwood, IIi, Md, PC Internal Medicine 2173 Normandie Dr, Montgomery, AL 36111 2007-03-06
1659456606 Jefferson Underwood Internal Medicine 2171 Normandie Dr, Montgomery, AL 36111 2006-10-26
1548340953 William John Knox IIi Otolaryngology 2163 Normandie Drive, Montgomery, AL 36111 2006-10-17
1669573465 Bennie R Hamner Surgery 2027 Normandie Drive, Montgomery, AL 36111 2006-09-26
1669963617 Dhwani Chotalia Nurse Practitioner 2908 Mcgehee Rd, Montgomery, AL 36111 2018-05-25
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730586405 Mary Conn Nurse Practitioner 10547 Montgomery Rd Ste 400, Montgomery, OH 45242-4418 2014-11-25
1760954523 Kristian Michelle Williams Nurse Practitioner 2105 E South Blvd, Montgomery, AL 36116-2409 2018-12-18
1194275321 Ashley Powell Nurse Practitioner 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 2016-10-12
1972948032 Kristen T Osborne Nurse Practitioner 4145 Carmichael Rd, Montgomery, AL 36106-2803 2013-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790394195 Farzana Gilani Nurse Practitioner 4577 Mcgill Ter, Hoover, AL 35226-6382 2020-07-31
1235762980 Zachary David Quintana Nurse Practitioner 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 2020-02-20
1780239160 Amy Black Nurse Practitioner 10420 Reva Rd N, Chunchula, AL 36521-3330 2019-08-02
1437613031 Lynsey Smith Nurse Practitioner 121 N 20th St Ste 2, Opelika, AL 36801-5409 2019-01-28
1780169037 Kathleen Kimbrough Shields Nurse Practitioner 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 2018-10-02
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1326555780 Brittany Michelle Bowen Nurse Practitioner 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 2018-01-08
1598280984 Kimberly Sue Johnson Nurse Practitioner 1201 7th St Se Ste 120, Decatur, AL 35601-3337 2017-08-07
1427571389 Sonya K Hicks Nurse Practitioner 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 2017-07-24
1326580515 Kams Transportation and Mobile Health Services Nurse Practitioner 102 Pearle Cove Dr, Huntsville, AL 35806-4243 2016-11-06
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Competitor

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City MONTGOMERY
Zip Code 36111

Improve Information

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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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