Ellis, Jeanna

Ellis, Jeanna is an sole proprietor health care provider with primary practice located at 1305 Washington St. , Jefferson GA 30549. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellis, Jeanna can be contacted via phone (706) 367-8828.

Contact Information

Primary practice address
1305 Washington St. Jefferson GA 30549
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH024387 Georgia

Profile Details

NPI number 1780835876
LBN Legal business name Ellis, Jeanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Dec 26th, 2022 - about 3 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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