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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED SCOTT ELLSWORTH, PA

Active

JARED SCOTT ELLSWORTH, PA is a Physician Assistant healthcare provider located in ARDMORE, Oklahoma. NPI 1821829821 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ARDMORE, OK

Registration Details

NPI Number
1821829821
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2024 (1.997478673827 yrs)
Last Updated
Aug 12, 2024
License
5366 (OK)

Practice Information

Address
1104 WALNUT DR
ARDMORE, OK, 734012353
Browse OK providers · Browse ZIP 73401
Phone
5802233411
Fax
5802262284
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ARDMORE, OK

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ROBERT DEAN HANNA P.A. 1083601868
MARK ALAN SHEAMAN PAC 1417911181
ROLDON SANCHEZ PA 1073577748
JERRI BRADSHAW PA-C 1609893676
GINA ELIZABETH HERNANDEZ PA 1760403943
SHELBY LUCAS PA-C 1316956998
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.