Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY EZELL JR., RN
Active Sole ProprietorJERRY EZELL JR., RN is a Home Health Nurse healthcare provider located in KALAMA, Washington. NPI 1750778346 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · KALAMA, WA
Registration Details
- NPI Number
- 1750778346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2015 (11.361057368343 yrs)
- Last Updated
- Apr 21, 2015
- License
-
RN60545703 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
194 PORTER RDKALAMA, WA, 986259698Browse WA providers · Browse ZIP 98625
- Phone
- 3606733488
- Primary Specialty
-
Home Health Nurse
163WH0200X
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.