Ellen M. Huson, ARNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9439216 Issued in FL

Practice address

10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256

Phone

(800) 793-7050

Fax

(866) 509-6155

NPI assigned

Jun 21, 2005

Last updated

Jul 16, 2018By the provider in NPPES

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

Other names 1

• Ellen Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialized Wound Management LLC

  dba Specialized Wound Management

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1962430157

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1417953860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10739 DEERWOOD PARK BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564839",
            "telephone_number": "800-793-7050",
            "fax_number": "866-509-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10739 DEERWOOD PARK BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "800-793-7050",
            "fax_number": "866-509-6155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Caseyville",
            "state": "IL",
            "postal_code": "622321306",
            "country_code": "US",
            "telephone_number": "618-345-3072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSON",
        "first_name": "ELLEN",
        "middle_name": "M.",
        "credential": "ARNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "152847",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9439216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MILLER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Loretta N Hurtak, PT
• Laurie H Husband
• Kayla Huselton
• Angela Battle Huser, APRN
• Lenore Helen Huskey, CPHT, RPT
• Aida Husovic, PA-C
• Jawed Hussain, M.D.
• Mahrukh Hussain, M.D.
• Mohammad Tahir Hussain, M.D.
• Muhammad U Hussain, MD

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.