MR. JEROME ELLIS

Social Worker - Clinical

Active Individual
NPI: 1023008638

Practice Address

2803 MEDICAL CAMPUS DR.
SEYMOUR JOHNSON AFB
Goldsboro, NC 27531

Phone: (919) 722-0969

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes C004119 (NC)

Frequently Asked Questions

NPI 1023008638 is the National Provider Identifier for MR. JEROME ELLIS, a Social Worker - Clinical provider located in Goldsboro, NC. This NPI was enumerated on October 25, 2005.
MR. JEROME ELLIS practices at 2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFB, Goldsboro, NC 27531.

Quick Facts

NPI
1023008638
Type
Individual
Enumerated
Oct 25, 2005
Last Updated
Dec 11, 2025