Individual
JORDAN ASKEW ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 S GLOSTER ST, TUPELO, MS 38801-6546
(662) 767-4200
Mailing address
1211 S GLOSTER ST STE A, TUPELO, MS 38801-6548
(662) 767-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00742
MS
Other
Enumeration date
07/21/2022
Last updated
10/30/2023
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