Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA ELLIS
Active Sole ProprietorANDREA ELLIS is a Podiatric Surgery healthcare provider located in JACKSON, Mississippi. NPI 1376216861 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · JACKSON, MS
Registration Details
- NPI Number
- 1376216861
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2021 (4.8563687770933 yrs)
- Last Updated
- Jul 29, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
4144 DEL ROSA DRJACKSON, MS, 392064732Browse MS providers · Browse ZIP 39206
- Phone
- 6015725631
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Other Podiatric Surgery Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| DEYANNA BUCKNER | — | 1336797372 |
| JASMINE LINDSEY | — | 1154970978 |
| MS. LORETTA JELKS | — | 1013567213 |
| MARY ANN HENDERSON | — | 1699326843 |
| LAQUINTA CAVETT | — | 1043852155 |
| MRS. SHIRLEY COLLINS WILLIAMS | — | 1871136374 |
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.