| Jeanette Ellison, Arnp | |
|
6957 California Ave Sw Seattle WA 98136-1953 | |
| (206) 935-6228 | |
| (206) 932-4856 |
| Full Name | Jeanette Ellison, Arnp |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6957 California Ave Sw, Seattle, Washington |
| Authorized Official Name and Position | Jeanette Marie Ellison (OWNER) |
| Authorized Official Contact | 2064988752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Ellison, Arnp 4742 42nd Ave Sw Seattle WA 98116-4553 Ph: (206) 200-8598 | Jeanette Ellison, Arnp 6957 California Ave Sw Seattle WA 98136-1953 Ph: (206) 935-6228 |
| NPI Number | 1619354792 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619354792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | AP60449766 (Washington) | Primary |
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