MR. Jason Daniel Ellis, RN
NPI #1194840470 in Douglasville, Georgia
Provider Information
- NPI Number
- 1194840470
- Entity Type
- Individual
- Name
- MR. Jason Daniel Ellis, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Mar 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4510 NOCOHOMA BND
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-8447
- Phone
- (678) 485-6905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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