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1548863582
JESSICA ELLIS
MEMPHIS, TN
NPI
1548863582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 27217)
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
JESSICA ELLIS NP
3445 POPLAR AVE STE 18
MEMPHIS, TN 38111-4667
Phone number: 901-417-6551
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Mailing Address
JESSICA ELLIS NP
18 W CAROLINA AVE APT 101
MEMPHIS, TN 38103-4842
Phone number: 662-444-1414
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