Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenyanita Ellis, DO

Individual provider Pediatrics Physician · NPI 1841727716

Dr. Kenyanita Ellis, DO is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

12086 Fort Caroline Rd Ste 401
Jacksonville, FL 32225-7640
Phone: (904) 456-9240
Fax: (904) 456-9231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS16790 (FL)

Record details

NPI number1841727716
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023

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