Mrs. Jawaneka P Ellerson, AGNPC
Mrs. Jawaneka P Ellerson, AGNPC is a Nurse Practitioner in Montgomery, Alabama. Qualified in 2017, 9 years ago. Practices with West Alabama AIDS Outreach Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Alabama.
- Years since qualifying
- 9
- Licensed in
- AL
- In the registry since
- 2017
Practice location Address checks out
2900 McGehee RdMontgomery, AL 36111-2151
Phone: (334) 280-3349
Fax: (334) 281-2308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence AG0117043 (AL) |
|---|
Record details
| NPI number | 1396276127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNPC |
| Sole proprietor | No |
| NPI enumerated | March 23, 2017 |
| Last updated in NPPES | March 23, 2017 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | West Alabama Aids Outreach Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Bradley Hamm, CRNP
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Lashena Michele Hampton, CRNP
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