DR. BETTY JO ELLINGTON DNP APRN FNP-BC NPI 1114909538

NPI Information

NPI: 1114909538
Provider Name: DR. BETTY JO ELLINGTON, DNP, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Specialization: Family
Entity Type: Individual
Address: 1413 RUSSELL AVE
JEFFERSON CITY, TN
ZIP 37760
Phone: (865) 471-5525

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NPI Details

DR. Betty Jo Ellington, DNP, APRN, FNP-BC is a family nurse practitioner in Jefferson City, TN. DR. Betty Jo Ellington, DNP, APRN, FNP-BC NPI is 1114909538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1413 RUSSELL AVE
JEFFERSON CITY, TN
ZIP 37760-562
Phone: (865) 471-5525

The enumeration date for this NPI number is 11/20/2005 and was last updated on 9/10/2019.

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	363LF0000X	Nurse Practitioner	Family	APN0000006086	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4075540	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
2	4155963	OTHER	TENNESSEE	BLUE CROSS BLUE SHIELD
3	1508879719	OTHER	TENNESSEE	GROUP NPI
4	200382097	OTHER	TENNESSEE	TAX I.D.

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: 3/30/2025

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