Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOLENE ELLIS, M.D.
ActiveJOLENE ELLIS, M.D. is a Pediatrics healthcare provider located in JACKSON, Michigan. NPI 1255395612 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · JACKSON, MI
Registration Details
- NPI Number
- 1255395612
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2006 (20.348785360359 yrs)
- Last Updated
- Mar 3, 2020
- License
-
4301058029 (MI)
Practice Information
- Address
-
760 W FRANKLIN STJACKSON, MI, 492012048Browse MI providers · Browse ZIP 49201
- Phone
- 5177809260
- Fax
- 5177809263
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MIRAFLOR REYES-GANZON | MD | 1457357055 |
| DR. SHARON ROUSE | DO | 1619973229 |
| DR. KATIKINENI V RAO | MD | 1841286937 |
| DR. JOHN S SCHUSTER | M.D. | 1245201607 |
| DR. TIMOTHY SCOTT VANSCHOICK | M.D. | 1760441455 |
| DANIEL ROBERT FERMAGLICH | MD | 1407812464 |
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.