Jordan Ellis, PHD

NPI 1972167161 · on the registry since 2019

Practice

Address: 1060 W Perimeter Rd
Jb Andrews, MD 20762
Phone: (240) 857-7186
Organisation at this address: 316th Medgrp-Malcolm Grow
Malcolm Grow Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 155

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Also registered as: 103TH0004X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-16

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 Maryland