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

Jill Ellsworth, FNP-C

Individual provider Family Nurse Practitioner · NPI 1790145910

Jill Ellsworth, FNP-C is a Family Nurse Practitioner in Ellisville, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

16105 Manchester Rd
Ellisville, MO 63011-2001
Phone: (314) 687-2718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 324 Emerson Rd, High Ridge, MO 63049-2542 — (636) 677-9977

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2016002971 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2016002971 (MO)

Record details

NPI number1790145910
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 1, 2016
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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