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CARMEN CAMILLE ELLIS-JACKSON RN
NPI 1568042281
Registered Nurse - Gerontology in Vineland, NJ

Active since April 08, 2021
524 N WEST BLVD, VINELAND, NJ 08360(856) 405-4336(856) 690-5224 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Camille Ellis-jackson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN CAMILLE ELLIS-JACKSON RN (NPI 1568042281) is an individual gerontology provider in Vineland, New Jersey, licensed in New Jersey (26NO08768100) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1568042281
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameCARMEN CAMILLE ELLIS-JACKSONCredential: RN
Location Address524 N WEST BLVDVineland, NJ 08360-2845
Mailing Address524 N West BlvdVineland, NJ 08360-2845 · (856) 405-4336 · Fax (856) 690-5229
Phone(856) 405-4336
Fax(856) 690-5224
Sole ProprietorYes
Enumeration DateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1568042281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in NJ · 26NO08768100
524 N WEST BLVD, Vineland, NJ 08360
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA ELIZABETH ACKLEY
Registered Nurse (Gerontology)
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4337
ANTOINETTE THOMPSON
Registered Nurse
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4328
MRS. MICHELE SAINSOTT RN, APN
Registered Nurse
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4200
PARTNERS PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 777-5002
DR. CARINA P. SAYO-LIM M.D.
Internal Medicine
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4296
AMY MICHELLE LILLY COTA
Occupational Therapy Assistant
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4323
DR. CARLITO LIM MD
Internal Medicine
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4345
MARVIN LEYVA RN
Registered Nurse (Gerontology)
524 N WEST BLVD
VINELAND, NJ 08360
Cumberland County (856) 405-4332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Ellis-jackson's NPI number?

The NPI number for Carmen Ellis-jackson is 1568042281. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Carmen Ellis-jackson located?

Carmen Ellis-jackson practices at 524 N West Blvd, Vineland, NJ 08360. The listed phone number is (856) 405-4336.

What is Carmen Ellis-jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Carmen Ellis-jackson was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.