Individual provider · Type 1 NPI

Jessica Danielle Ellis

Gerontology Nurse Practitioner · Flat Rock, NC

NPI number 1245659705 Active

Practice location

571 S Allen Rd
Flat Rock, NC 28731-9447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X174165 (NC)
Gerontology Nurse Practitioner Primary 363LG0600X174165 (NC)

Gerontology Nurse Practitioner: Definition to come...

103 other providers at this address

Other gerontology nurse practitioner providers in Flat Rock

See all in Flat Rock →

About NPI 1245659705

Jessica Danielle Ellis's National Provider Identifier is 1245659705, issued on Apr 14, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Flat Rock, NC. The record was last updated on Aug 17, 2022.