Carmen C Ellis-Jackson, RN
Registered Nurse, Gerontology in Vineland, New Jersey
1568042281- Practice location
- 524 N West Blvd, Vineland, NJ 08360-2845
- Phone
- 856-405-4336
- Fax
- 856-690-5224
- Last updated
- April 8, 2021
Carmen Camille Ellis-Jackson is a Registered Nurse, Gerontology based in Vineland, NJ. Carmen Camille Ellis-Jackson practices in Vineland, NJ and has the professional credentials of RN. The NPI Number for Carmen Camille Ellis-Jackson is 1568042281 and holds a License No. 26NO08768100 (NJ). The current practice location address for Carmen Camille Ellis-Jackson is 524 N West Blvd, Vineland, NJ 08360-2845 and can be reached out via phone at 856-405-4336 and via fax at 856-690-5224.
Provider Profile Details
- NPI Number
- 1568042281
- Provider Name
- Carmen Camille Ellis-Jackson
- Credential
- RN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 524 N West Blvd, Vineland, NJ 08360-2845
- Phone Number
- 856-405-4336
- Fax Number
- 856-690-5224
- Primary Taxonomy
- Registered Nurse, Gerontology · 163WG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 8, 2021
- Last Update Date
- April 8, 2021
- Certification Date
- April 8, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 524 N West Blvd
Vineland, NJ 08360-2845 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-2845
- Phone Number
- 856-405-4336
- Fax Number
- 856-690-5224
Provider Business Mailing Address Details
- Address
- 524 N West Blvd
Vineland, NJ 08360-2845 - City
- Vineland
- State
- NJ
- Zip
- 08360-2845
- Phone Number
- 856-405-4336
- Fax Number
- 856-690-5229
License Information
- License Number
- 26NO08768100
- License State
- NJ
- Taxonomy
- Registered Nurse, Gerontology · 163WG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurse, Gerontology providers near Vineland, NJ
View all Registered Nurse, Gerontology providers in Vineland →- Brenda E AckleyRegistered Nurse, Gerontology · NPI 1013662410
- Casey Holmes, RDRegistered Nurse, Gerontology · NPI 1881364917
- Marvin Leyva, RNRegistered Nurse, Gerontology · NPI 1306426028
- Rosemary Munno, RNRegistered Nurse, Gerontology · NPI 1649933805
- Vickey MasonRegistered Nurse, Gerontology · NPI 1841870458
Frequently Asked Questions
What is the NPI number of Carmen C Ellis-Jackson, RN?
The NPI number of Carmen C Ellis-Jackson, RN is 1568042281. It was assigned on April 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Carmen C Ellis-Jackson, RN?
Carmen C Ellis-Jackson, RN is registered under the primary taxonomy Registered Nurse, Gerontology (code 163WG0600X), licensed in NJ under license number 26NO08768100.
Where does Carmen C Ellis-Jackson, RN practice?
The practice location is 524 N West Blvd, Vineland, NJ 08360-2845. The office can be reached at 856-405-4336 (phone) or 856-690-5224 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568042281 directly on the NPPES registry website.