person
John Gregory Ellis
Psychiatric/Mental Health Nurse Practitioner in Salt Lake City, Utah
NPI 1790421626

John Gregory Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Provo, UT and is specialized in Psychiatric/Mental Health. John Gregory Ellis practices in Salt Lake City, UT. The NPI Number for John Gregory Ellis is 1790421626 and holds a License No. 11252944-3102 (Utah).

The current practice location address for John Gregory Ellis is 7050 S Highland Dr Ste 210, Salt Lake City, UT and can be reached out via phone at 801-878-4081 and via fax at 801-583-2500.

Location: 7050 S Highland Dr Ste 210, Salt Lake City, UT, 84601-1677
person
Provider Profile Details
NPI Number
1790421626
Provider Name
John Gregory Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
7050 S Highland Dr Ste 210, Salt Lake City, UT, 84601-1677
Phone Number
801-878-4081
Fax Number
801-583-2500
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7050 S Highland Dr Ste 210
City
State
Zip
84121-3762
Phone Number
801-878-4081
Fax Number
801-583-2500
person
Provider Business Mailing Address Details
Address
7050 S Highland Dr Ste 210
City
State
Zip
84121-3762
Phone Number
801-878-4081
Fax Number
801-583-2500
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11252944-3102 (Utah)
Definition
Definition to come...
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