OrganizationActive
Ellen Nolan, Aprn, PC
NPI 1154633048 · Psychiatric/Mental Health Nurse Practitioner · Jackson, WY
Provider details
- NPI number
- 1154633048
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ellen Nolan, President(307) 690-4111
- License
- 15711.0192 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
420 S. Jackson St.
Jackson, WY 83001
Phone: (307) 690-4111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3877
Jackson, WY 83001-3877
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2016-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.