Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED S ELLIS, MD
ActiveFamily Medicine · TUSCALOOSA, AL
Registration Details
- NPI Number
- 1790785756
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2005 (20.730480045415 yrs)
- Last Updated
- Sep 1, 2022
- License
-
17418 (AL)
Practice Information
- Address
-
2201 JACK WARNER PKWYTUSCALOOSA, AL, 354011090Browse AL providers · Browse ZIP 35401
- Phone
- 2055235618
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in TUSCALOOSA, AL
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN A ROBERTS | D.O. | 1063416667 |
| DR. ALAN J MAXWELL | M.D. | 1659376812 |
| CHARLES EDWARD GENO | MD | 1366444952 |
| DR. ASHOK V MUJUMDAR | MD | 1023005030 |
| VERNON LEON SCOTT SR. | M.D. | 1992786958 |
| DR. JOHN EVERETT HUBBARD | MD | 1255310835 |
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.