Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA DYANNE ELLIS
Active Sole ProprietorJESSICA DYANNE ELLIS is a Pharmacist healthcare provider located in LOCUST GROVE, Oklahoma. NPI 1659976546 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LOCUST GROVE, OK
Registration Details
- NPI Number
- 1659976546
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2020 (5.6787831258898 yrs)
- Last Updated
- Dec 1, 2020
- License
-
15269 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 E MAIN STLOCUST GROVE, OK, 743525184Browse OK providers · Browse ZIP 74352
- Phone
- 9184794815
- Fax
- 9184794817
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in LOCUST GROVE, OK
| Name | Credential | NPI |
|---|---|---|
| CHELSI MOSS | — | 1811599434 |
| CHOU THAO | — | 1467048207 |
| GABRIELLE PAGE | — | 1871377697 |
| MAI T NGUYEN | PHARMD | 1205792801 |
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.