Individual
JENNIFER SUSAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4040 RADIO DR, WOODBURY, MN 55129-3237
(651) 439-8807
(651) 439-0232
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9602
MN
363AS0400X
Surgical Physician Assistant
9602
MN
Other
Enumeration date
03/16/2006
Last updated
09/25/2020
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