Individual
JONTE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 LAKEVIEW CIR, COVINGTON, LA 70433-7512
(985) 273-5868
(985) 273-5869
Mailing address
7811 KEATS ST, NEW ORLEANS, LA 70126-1419
(504) 813-4274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
347749
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
08/01/2025
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