Jarmaine Lee Ellis, LPN

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

306353-031 Issued in WI

Practice address

4533 N 67TH Street
Milwaukee, WI 53218

Phone

(414) 461-2977

Fax

(414) 461-2977

NPI assigned

Jul 18, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jarmaine Lee Ellis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1306000310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 N 67TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-461-2977",
            "fax_number": "414-461-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 N 67TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53218",
            "telephone_number": "414-461-2977",
            "fax_number": "414-461-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JARMAINE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "WI",
            "license": "306353-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARMAINE",
            "last_name": "ELLIS",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Cromartie Elliott Jr., M.D.
• Alexandria Ellis
• Angela Ellis, RDN, CD, CLC
• Austin Ellis, MD
• Eddie Ellis
• Jodie Lynn Ellis, MSW
• Katrina Karetha Ellis, LICENSED PRACTICAL
• Larry Ellis, M.S.W.
• Mary Kathryn Ellis, MD
• Nea D Ellis, RN

• Clinical Nurse Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.