Jenna Ellison
Health Psychologist Rehabilitation Psychologist
3000 New Bern Ave
Raleigh
, North Carolina 27610-1231
Jenna Ellison
Health Psychologist Rehabilitation Psychologist
3000 New Bern Ave
Raleigh
, North Carolina 27610-1231
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About
Features
Specialties
- Health Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Jenna Ellison
- 3000 New Bern Ave
- Raleigh, NC
- Zip : 27610-1231
- Phone :
Second Address
- Jenna Ellison
- 3000 New Bern Ave
- Raleigh, NC
- Zip : 27610-1231
- Phone : (919) 850-7878
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0004X | Health Psychologist | 103349 | NC |
| N | 103TR0400X | Rehabilitation Psychologist | 103349 | NC |
National Provider Identifier
| NPI | 1609428168 |
|---|---|
| Provider Name | Jenna Ellison |
| First Address | Raleigh, NC 27610-1231 |
| Second Address | Raleigh, NC 27610-1231 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2019 |
| Last Update Date | 25/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.