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Andrea Ellis
Attendant Care Provider in Jackson, Mississippi
NPI 1376216861

Andrea Ellis is an Attendant Care Provider based in Jackson, MS and is specialized in Attendant Care Provider. Andrea Ellis practices in Jackson, MS. The NPI Number for Andrea Ellis is 1376216861 and holds a License No. (Mississippi).

The current practice location address for Andrea Ellis is 4144 Del Rosa Dr, Jackson, MS and can be reached out via phone at 601-572-5631.

Location: 4144 Del Rosa Dr, Jackson, MS, 39206-4732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376216861
Provider Name
Andrea Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4144 Del Rosa Dr, Jackson, MS, 39206-4732
Phone Number
601-572-5631
Fax Number
Provider Enumeration Date
07/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4144 Del Rosa Dr
City
Jackson
State
Mississippi
Zip
39206-4732
Phone Number
601-572-5631
Fax Number
person
Provider Business Mailing Address Details
Address
4144 Del Rosa Dr
City
Jackson
State
Mississippi
Zip
39206-4732
Phone Number
601-572-5631
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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