Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY LEE ELLIS
ActiveMR. JIMMY LEE ELLIS is a Adult Companion healthcare provider located in AVONDALE, Arizona. NPI 1376013326 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · AVONDALE, AZ
Registration Details
- NPI Number
- 1376013326
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2018 (7.7185119038025 yrs)
- Last Updated
- Jan 5, 2019
Practice Information
- Address
-
105 N LINKS DR APT 1061AVONDALE, AZ, 853233046Browse AZ providers · Browse ZIP 85323
- Phone
- 4804878480
- Primary Specialty
-
Adult Companion
372600000X
- Additional Specialty
- Homemaker
- Additional Specialty
- Adult Companion
Other Adult Companion Providers in AVONDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. IRENA CHATKOWSKI | — | 1154658219 |
| ELEONORA KACZMAREK | — | 1669717468 |
| MATTHEW ODISHOO | — | 1679069025 |
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.