Individual provider · Type 1 NPI

Jennifer Ezell

Licensed Practical Nurse · Tupelo, MS

NPI number 1710770987 Active

Practice location

2434 S Eason Blvd
Tupelo, MS 38804-6942

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X317468 (MS)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1710770987

Jennifer Ezell's National Provider Identifier is 1710770987, issued on May 28, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tupelo, MS. The record was last updated on May 28, 2025.