Jeanne Louise Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9285145 Issued in FL

Practice address

12322 George Dr
Brooksville, FL 34613-5625

Phone

(352) 556-3865

Fax

(352) 556-3865

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1346486990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12322 GEORGE DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135625",
            "telephone_number": "352-556-3865",
            "fax_number": "352-556-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12322 GEORGE DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135625",
            "telephone_number": "352-556-3865",
            "fax_number": "352-556-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JEANNE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9285145",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "282153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Eid, M.D.
• Youssef Alaa Elbanna, DO
• Elevated Estates of Brooksville LLC
• Matthew Eliassen, MD
• Elite Womens Care
• Venkata Rao Emandi, M.D.
• Encompass Health Rehabilitation Hospital of Spring Hill, Inc.
• Evelyn Mondares Erana, PHYSICAL THERAPIST
• Erin Abbott Street Mateer MD PLLC
• Hannah Sam Ersoff, AU.D.

• Registered Nurse in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.