Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE ILENE ELLIS, NURSE ANESTHETIST
ActiveJEANETTE ILENE ELLIS, NURSE ANESTHETIST is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MOUNT VERNON, Illinois. NPI 1184191363 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1184191363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2018 (7.7813486995799 yrs)
- Last Updated
- Oct 25, 2018
- License
-
118890 (IL)
Practice Information
- Address
-
2 GOOD SAMARITAN WAY STE 205MOUNT VERNON, IL, 628642476Browse IL providers · Browse ZIP 62864
- Phone
- 6188993869
- Fax
- 6188993558
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| DON EDWARD BERTSCHI | C.R.N.A. | 1548246424 |
| DAVID L STITTSWORTH | CRNA | 1689636540 |
| MR. KENT ALAN FAIR | CRNA | 1952321879 |
| DAVID PETER RAKEY | CRNA | 1326057423 |
| MS. JOANN MCGEE | CRNA | 1841302239 |
| GENE R GARDNER | CRNA | 1710089818 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.