Search › Missouri › 363A00000X
Jeffrey Ellis, PA-C
NPI 1033454699 · on the registry since 2012
Practice
- Address
- 2150 W Republic Rd Ste 112
Springfield, MO 65807 - Phone
- (417) 986-1291
- Clinicians at this address
- 3
Additional practice sites
- 3233 E Sunshine St Ste 100, Springfield, MO
- 900 E Battlefield St Ste 124, Springfield, MO
- 303 W Sunshine St, Springfield, MO
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri