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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON DANIEL ELLIS, RN

Active Sole Proprietor

MR. JASON DANIEL ELLIS, RN is a Registered Nurse healthcare provider located in DOUGLASVILLE, Georgia. NPI 1194840470 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · DOUGLASVILLE, GA

Registration Details

NPI Number
1194840470
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2007 (19.398047809835 yrs)
Last Updated
Jul 8, 2007
License
RN155630 (GA)
Sole Proprietor
Yes

Practice Information

Address
4510 NOCOHOMA BND
DOUGLASVILLE, GA, 301358447
Browse GA providers · Browse ZIP 30135
Phone
6784856905
Primary Specialty
Registered Nurse
163W00000X

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APRIL POLITE 1720532161
APRIL ANNETTE POTTER REGISTERED NURSE 1730744590
JANELLE WILSON RN 1942865522
TOWANNA DRIVER RN 1720637523
MS. IDELL ANNETTE STRACHAN RN 1972125565
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.