Search › Minnesota › 207RE0101X
Jacklyn Ellickson, MD
NPI 1538395496 · on the registry since 2009
Practice
- Address
- 401 Phalen Blvd
Saint Paul, MN 55130 - Phone
- (651) 254-7870
- Fax
- (651) 254-7876
- Organisation at this address
- Regions Hospital
Regions Hospital
Group Health, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 139
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207RE0101X
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota