Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeanette Leann Ellison, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437030616

Jeanette Leann Ellison, PMHNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Siren Medical PC, an 18-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2824 E Donner Dr
Phoenix, AZ 85042-6069
Phone: (602) 448-8146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 254185 (AZ)

Record details

NPI number1437030616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorYes
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Siren Medical Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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