Individual
MOLLY E ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
47185 COOPER FOSTER PARK RD, AMHERST, OH 44001-3307
(440) 960-3954
(440) 960-3956
Mailing address
4600 MCAULEY PL STE 600, BLUE ASH, OH 45242-4778
(877) 692-7780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004354RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135157
—
OH
05
—
3025372
—
OH
Enumeration date
02/06/2015
Last updated
07/07/2025
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