Jessica Ellison, NTP, BSN, RN

Primary specialty

Nutrition Support Registered NurseTaxonomy code 163WN1003X

License

1-113555 Issued in AL

Practice address

160 Lake Ridge Dr
Trussville, AL 35173-3855

Phone

(205) 767-8980

NPI assigned

Jun 29, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1609792076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LAKE RIDGE DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733855",
            "telephone_number": "205-767-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAKE RIDGE DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351733855",
            "telephone_number": "205-767-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JESSICA",
        "credential": "NTP, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "AL",
            "license": "1-113555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Trussville, AL
• Providers in Trussville, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.