Jeanna Ellis

NPI #1780835876 in Jefferson, Georgia

Provider Information

NPI Number: 1780835876
Entity Type: Individual
Name: Jeanna Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 7, 2008
Last Updated: Dec 26, 2022

Practice Location

Address: 1305 WASHINGTON ST.
City: Jefferson
State: Georgia
ZIP Code: 30549
Phone: (706) 367-8828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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