JENNIFER LYNN ELLIS FNP-C
NPI 1073268660
Nurse Practitioner - Family in Waynesville, MO

Active since February 13, 2022
215 NORTH ST, WAYNESVILLE, MO 65583(573) 774-6279(573) 774-5626 Get Directions Write a Review

NPPES record last updated: February 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Lynn Ellis Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN ELLIS FNP-C (NPI 1073268660) is an individual family provider in Waynesville, Missouri, licensed in Missouri (2021002296) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1073268660
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN ELLISCredential: FNP-C
Location Address215 NORTH STWaynesville, MO 65583-2553
Mailing Address809 Thornton StWaynesville, MO 65583-2252 · (573) 528-6909
Fax(573) 774-5626
Sole ProprietorNo
Enumeration DateFebruary 13, 2022
NPPES CertifiedApril 26, 2021
NPI 1073268660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2021002296
215 NORTH ST, Waynesville, MO 65583

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Pain Medicine)
215 NORTH ST
WAYNESVILLE, MO 65583
Family Medicine
215 NORTH ST, SUITE B
WAYNESVILLE, MO 65583
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
215 NORTH ST, SUITE A
WAYNESVILLE, MO 65583
Nurse Practitioner (Family)
215 NORTH ST
WAYNESVILLE, MO 65583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1073268660. It was assigned to this individual provider in the NPPES registry on February 13, 2022.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 215 North St, Waynesville, MO 65583. The listed phone number is (573) 774-6279.

What is Jennifer Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Ellis was last updated on February 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.