Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JODY LEE ELLISON
Active Sole ProprietorMR. JODY LEE ELLISON is a Community/Behavioral Health healthcare provider located in BELLEVUE, Nebraska. NPI 1205640679 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · BELLEVUE, NE
Registration Details
- NPI Number
- 1205640679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2025 (1.5505093238694 yrs)
- Last Updated
- Feb 5, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
5129 GALLOWAY STBELLEVUE, NE, 681572422Browse NE providers · Browse ZIP 68157
- Phone
- 4022010868
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in BELLEVUE, NE
| Name | Credential | NPI |
|---|---|---|
| FEARLESS CUMMINGS | — | 1518774918 |
| CAMERON FRY | — | 1760289730 |
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.