Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Camille Ellis-Jackson, RN

Individual provider Gerontology Registered Nurse · NPI 1568042281

Carmen Camille Ellis-Jackson, RN is a Gerontology Registered Nurse in Vineland, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

524 N West Blvd
Vineland, NJ 08360-2845
Phone: (856) 405-4336
Fax: (856) 690-5224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence 26NO08768100 (NJ)

Record details

NPI number1568042281
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 8, 2021
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

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