IndividualActive
Ellishiona Jamison, COTA
NPI 1902230634 · Community Health Worker · Indianapolis, IN
Provider details
- NPI number
- 1902230634
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 32002443A (IN)
Specialties & taxonomies
Other Service Providers
Practice location
7465 Madison Ave
Indianapolis, IN 46227-6564
Phone: (317) 788-3000
Approximate (ZIP-level) locationGet directions
Mailing address
7840 Palawan Way
Indianapolis, IN 46239-2209
Registry dates
- Enumerated
- 2013-08-29
- Last updated
- 2013-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.