JEANETTE ILENE ELLIS

MOUNT VERNON, IL
NPI1184191363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  118890)
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
JEANETTE ILENE ELLIS Nurse anesthetist
2 GOOD SAMARITAN WAY STE 205
MOUNT VERNON, IL 62864-2476
Phone number: 618-899-3869
Mailing Address
JEANETTE ILENE ELLIS Nurse anesthetist
809 APACHE DR
SIKESTON, MO 63801-4015
Phone number: 573-703-3298
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