MR. Jerome L Ellis

NPI #1023008638 in Goldsboro, North Carolina

Provider Information

NPI Number
1023008638
Entity Type
Individual
Name
MR. Jerome L Ellis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 25, 2005
Last Updated
Dec 11, 2025

Practice Location

Address
2803 MEDICAL CAMPUS DR.
Address 2
SEYMOUR JOHNSON AFB
ZIP Code
27531-2310
Phone
(919) 722-0969

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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