NPI 1013768852

Christopher Robert Ellis

Practitioner Emergency Medicine Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000
Mailing address: 344 NW 97th Ave, Plantation, FL 33324-7069

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence T-5288 (MS)

Other Emergency Medicine providers in Mississippi →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Mississippi →

Registry record

NPI: 1013768852
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2024
Record last updated: 15 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.