Active NPI
Jessie L Ellis-Jamison, ARNP
- Family Nurse Practitioner
- Ocala, FL
National Provider Identifier
1245537034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9360848
- Practice address
- 1801 SE 32ND Ave
Ocala, FL 34471-5532 - Phone
- (352) 732-6599
- NPI assigned
- Feb 15, 2011
- Last updated
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN060931-APO06304 | LA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9360848 | FL | Primary |
Addresses
Primary practice location
1801 SE 32ND Ave
Ocala, FL 34471-5532
Mailing address
345 W Madison St
Starke, FL 32091-3923
Phone (352) 732-6599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009419900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9360848 | FL | MD | Family Nurse Practitioner |
| RN060931-APO06304 | LA | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://api.platform.athenahealth.com/16275/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1245537034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W MADISON ST",
"city": "STARKE",
"state": "FL",
"postal_code": "320913923",
"telephone_number": "352-732-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344715532",
"telephone_number": "352-732-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS-JAMISON",
"first_name": "JESSIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN060931-APO06304",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9360848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009419900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.