Individual
JASMINA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 DAN PROCTOR DR, SAINT MARYS, GA 31558-3810
(912) 576-6140
Mailing address
400 MALL BLVD, STE T, SAVANNAH, GA 31406-4861
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ZZZ
GA
Other
Enumeration date
06/10/2014
Last updated
06/17/2014
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