JUANITA ELLIS MSN APRN PMHNP-BC NPI 1184062671

NPI Information

NPI: 1184062671
Provider Name: JUANITA ELLIS, MSN, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
151 N MICHIGAN ST STE 224
TOLEDO, OH
ZIP 43604
Phone: (419) 963-4299
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Juanita Ellis, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Toledo, OH with 5 years of experience. Juanita Ellis, MSN, APRN, PMHNP-BC NPI is 1184062671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

151 N MICHIGAN ST STE 224
TOLEDO, OH
ZIP 43604-941
Phone: (419) 963-4299

The NPI 1184062671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 4/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		PN 139813-M-IV	OHIO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN.410281	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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