| Doctor Name: | MS. ELLEN JESSE BERNSTEIN |
| NPI Number: | 1033591573 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP014695 |
| Business Practice Address: | 100 E Lancaster Ave Suite 370 Wynnewood, PA - 190963450 |
| Business Phone Number: | 6106423005 |
| Business Fax Number: | 6106423057 |
| Mailing Address: | 100 E Lancaster Ave, Suite 370 WYNNEWOOD |
| State: | PA |
| Postal Code: | 190963450 |
| Phone Number: | 6106423005 |
| Fax Number: | 6106423057 |
| NPI Enumeration Date: | 06/21/2015 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP014695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |