Dr. Joelle Ellis
Internal Medicine in St Petersburg, FL. Individual provider (NPI-1).
NPI number1669960951
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1669960951
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joelle Ellis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2018
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME148482 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
560 Jackson St N Ste 302St Petersburg, FL 33705-1449
Phone 727-895-9640 · Fax 727-895-9692
Mailing address
560 Jackson St N Ste 302St Petersburg, FL 33705-1449
Phone 727-895-9640 · Fax 727-895-9692
Other practice locations
201 14th St Sw
Largo, FL 33770-3133
Largo, FL 33770-3133
Phone 727-588-5704
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