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

Crystal Berniece Ellis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710320379

Crystal Berniece Ellis is a Student in an Organized Health Care Education/Training Program in Joint Base Lewis McChord, Washington. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone: (253) 968-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1710320379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2013
Last updated in NPPESApril 14, 2013
Mailing address9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000

Other providers in Joint Base Lewis McChord