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JACQUELINE ELLIS

Certified Registered Nurse Anesthetist

NPI: 1629596085IndividualAccepts Medicare

Specialties, Licenses & Credentials

Anesthesiology Physician

Anesthesiology

Code: 207L00000X

4704360147(MI)
Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

4704360147(MI)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2014

Contact & Hours

Via practice · 2 locations total

Address
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525

Quick Facts

NPI
1629596085
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
12

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