Jennifer Susan Ellis, PA-C

NPI #1013986611 in Woodbury, Minnesota

Provider Information

NPI Number: 1013986611
Entity Type: Individual
Name: Jennifer Susan Ellis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 16, 2006
Last Updated: Sep 25, 2020

Practice Location

Address: 4040 RADIO DR
City: Woodbury
State: Minnesota
ZIP Code: 55129-3237
Phone: (651) 439-8807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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