Andrea Ellis
Andrea Ellis is an Attendant Care Provider in Jackson, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4144 Del Rosa DrJackson, MS 39206-4732
Phone: (601) 572-5631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1376216861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2021 |
| Last updated in NPPES | July 29, 2021 |
| Certification date | July 29, 2021 |
| Mailing address | 4144 Del Rosa Dr, Jackson, MS 39206-4732 |
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