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Jody Ellis, PA-C
Medical Physician Assistant in Munster, Indiana
NPI 1457315590

Jody Ellis is a Medical Physician Assistant based in Munster, IN and is specialized in Medical. Jody Ellis practices in Munster, IN and has the professional credentials of PA-C. The NPI Number for Jody Ellis is 1457315590 and holds a License No. 1000818A (Indiana).

The current practice location address for Jody Ellis is 901 Macarthur Blvd, Munster, IN and can be reached out via phone at 219-836-4569.

Location: 901 Macarthur Blvd, Munster, IN, 46321-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457315590
Provider Name
Jody Ellis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
901 Macarthur Blvd, Munster, IN, 46321-2807
Phone Number
219-836-4569
Fax Number
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
901 Macarthur Blvd
City
Munster
State
Indiana
Zip
46321-2901
Phone Number
219-836-4569
Fax Number
person
Provider Business Mailing Address Details
Address
901 Macarthur Blvd
City
Munster
State
Indiana
Zip
46321-2901
Phone Number
219-836-4569
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1000818A (Indiana)
Definition
Definition to come...
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