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General NPI Number Information
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NPI Number | 1457731127
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Entity Type | Individual
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Provider Name | AMY MICHELE ELLISON CNP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 700 E OGDEN AVE STE 202
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City | WESTMONT
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State | IL
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Zip | 60559-1296
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Country | US
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Telephone | 630-789-9785
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E OGDEN AVE STE 202
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City | WESTMONT
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State | IL
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Zip | 60559-1296
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Country | US
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Telephone | 630-789-9785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71006091A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1176681
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209012868
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 231018
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP032117
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209012868
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021341
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0037682
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 38142
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License Number State | TN
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71006091A
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License Number State | IN
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025003230
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License Number State | MO
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Taxonomy #12
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-4938
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License Number State | HI
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Taxonomy #13
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 315543
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License Number State | AZ
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 907204
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License Number State | MS
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11035916
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License Number State | FL
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