Individual provider · Type 1 NPI

Cassidy Ellis

Student in an Organized Health Care Education/Training Program · Lynchburg, VA

NPI number 1942004122 Active

Practice location

306 Liberty View Ln
Lynchburg, VA 24502-2291

Call (434) 592-6400 Map

Mailing address

1321 Templeton Mill Rd
Lynchburg, VA 24503-6484

Other practice locations

  • 1321 Templeton Mill Rd, Lynchburg, VA 24503-6484 · (540) 834-9285

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942004122

Cassidy Ellis's National Provider Identifier is 1942004122, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynchburg, VA. The record was last updated on Apr 4, 2025.