Individual
ELLEN JENNIFER ESSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31 E MACK BAYOU DR, SANTA ROSA BEACH, FL 32459-7102
(850) 267-2292
(850) 267-3957
Mailing address
31 E MACK BAYOU DR, SANTA ROSA BEACH, FL 32459-7102
(850) 267-2292
(850) 267-3957
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 81353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05180
BCBS
FL
05
—
262645400
—
FL
01
—
7140355
AETNA
FL
Enumeration date
06/29/2006
Last updated
12/18/2014
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