Ellingson, Jordin Lee

Ellingson, Jordin Lee is an individual health care provider with primary practice located at 3919 Tampa Rd , Oldsmar FL 34677-3114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellingson, Jordin Lee can be contacted via phone (727) 733-6111.

Contact Information

Primary practice address
3919 Tampa Rd Oldsmar FL 34677-3114
Phone: (727) 733-6111
Fax: (727) 733-6002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113176 Florida

Profile Details

NPI number 1922625326
LBN Legal business name Ellingson, Jordin Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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