Jennifer Susan Ellis PA-C

  • NPI 1013986611
According to our database, the NPI number for Jennifer Susan Ellis PA-C is 1013986611 and activated since 18 years ago. Jennifer Susan Ellis PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 4040 Radio Dr, Woodbury, MN 55129. You can also contact Jennifer Susan Ellis PA-C via telephone number is (651) 439-8807. Provider NPI information was last updated on 09/25/2020.

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Overview of Jennifer Susan Ellis PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/16/2006
  • Last updated: 09/25/2020

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 9602
  • License State: MN

Provider Mailing Address

  • Address: 4200 Dahlberg Dr Ste 300
    Golden Valley, MN 55422
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4040 Radio Dr
    Woodbury, MN 55129
  • Phone: 651-439-8807
  • Fax: 651-439-0232

Scope of Practice

  • Taxonomy Code: 363AS0400X
  • Specialty: Surgical
  • License Number: 9602
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jennifer Susan Ellis PA-C?
  • A: The npi number for Jennifer Susan Ellis PA-C is 1013986611.
  • Q: What are Jennifer Susan Ellis PA-C's specialties?
  • A: Jennifer Susan Ellis PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jennifer Susan Ellis PA-C?
  • A: The medical license number for Jennifer Susan Ellis PA-C is 9602 and issued in MN in USA.
  • Q: Where is Jennifer Susan Ellis PA-C practice location?
  • A: Jennifer Susan Ellis PA-C is practicing at 4040 Radio Dr, Woodbury, MN 55129.
  • Q: How to contact Jennifer Susan Ellis PA-C?
  • A: You can contact Jennifer Susan Ellis PA-C via 651-439-8807.