Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAQUAN ELLIS
Active Sole ProprietorJAQUAN ELLIS is a Home Health Aide healthcare provider located in HOPKINS, Minnesota. NPI 1023685963 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · HOPKINS, MN
Registration Details
- NPI Number
- 1023685963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2021 (5.2114589135032 yrs)
- Last Updated
- Jun 9, 2021
- License
-
PCA78474320190817 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
312 JACKSON AVE NHOPKINS, MN, 553438306Browse MN providers · Browse ZIP 55343
- Phone
- 6515086356
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in HOPKINS, MN
| Name | Credential | NPI |
|---|---|---|
| ASHLEY ELIZABETH MAGNUSON | PCA, CST | 1568929941 |
| ANAS ABDI | — | 1780440024 |
| KHALID WARSAME ADEN | — | 1871382069 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.