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

JENNIFER DIANE ELLZEY, M.D.

Active Sole Proprietor

JENNIFER DIANE ELLZEY, M.D. is a Pediatrics healthcare provider located in MADISON, Mississippi. NPI 1871754374 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MADISON, MS

Registration Details

NPI Number
1871754374
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2008 (18.165923992044 yrs)
Last Updated
Jan 11, 2024
Licenses
04-35203 (KS)
32289 (MS)
Sole Proprietor
Yes

Practice Information

Address
401 BAPTIST DR STE 301
MADISON, MS, 391102012
Browse MS providers · Browse ZIP 39110
Phone
6014990935
Fax
6014990936
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in MADISON, MS

Name Credential NPI
DR. PARKER L. ELLISON M.D. 1942311212
DR. CATHERINE P. PHILLIPPI M.D. 1578674883
DR. STEVEN P. CHEVALIER M.D. 1104937481
DR. WILLIAM H. SMITH JR. M.D. 1861595340
ASHLEY W MCGLAWN M.D. 1407274426
DR. JUSTIN M. LAY D.O. 1093109316
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.