JEAN LARAMORE ELLIS, PA-C
Physician Assistant
Active
Individual
NPI: 1356362404
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 103578 (NC) |
Frequently Asked Questions
NPI 1356362404 is the National Provider Identifier for JEAN LARAMORE ELLIS, PA-C, a Physician Assistant provider located in Statesville, NC. This NPI was enumerated on July 22, 2006.
JEAN LARAMORE ELLIS, PA-C practices at 208 OLD MOCKSVILLE RD, Statesville, NC 28625.
Quick Facts
- NPI
- 1356362404
- Type
- Individual
- Enumerated
- Jul 22, 2006
- Last Updated
- Jul 8, 2007
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