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

Jessica Dyanne Ellis

Individual provider Pharmacist · NPI 1659976546

Jessica Dyanne Ellis is a Pharmacist in Locust Grove, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2020
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Practice location Address checks out

800 E Main St
Locust Grove, OK 74352-5184
Phone: (918) 479-4815
Fax: (918) 479-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15269 (OK)

Record details

NPI number1659976546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2020
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

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