MR. JOHN KENNY ELLISON RN NPI 1730398546

NPI Information

NPI: 1730398546
Provider Name: MR. JOHN KENNY ELLISON, RN
Classification: Registered Nurse - 163WE0003X
Entity Type: Individual

Specialization: Emergency

Address:
12516 CRESTLINE AVE NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 323-9170
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MR. John Kenny Ellison, RN is an emergency registered nurse in Albuquerque, NM. MR. John Kenny Ellison, RN NPI is 1730398546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12516 CRESTLINE AVE NE
ALBUQUERQUE, NM
ZIP 87112-616
Phone: (505) 323-9170

The enumeration date for this NPI number is 5/21/2007 and was last updated on 7/8/2007.

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	163WE0003X	Registered Nurse	Emergency	R21266	NEW MEXICO	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: 11/14/2023

NPI Synchronization or Removal

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