JENNIFER ELLIS NP
NPI 1487157277
Nurse Practitioner - Family in Encino, CA

Active since March 17, 2018
16101 VENTURA BLVD STE 330, ENCINO, CA 91436(702) 703-6763 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2024, Nov 15, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Jennifer Ellis Np NPPES

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

JENNIFER ELLIS NP (NPI 1487157277) is an individual family provider in Encino, California, licensed in California (95008657) and active in the NPI registry since March 2018. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1487157277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER ELLISCredential: NP
Location Address16101 VENTURA BLVD STE 330Encino, CA 91436-2516
Mailing Address16101 Ventura Blvd Ste 330Encino, CA 91436-2516 · (702) 703-6763
Sole ProprietorNo
Enumeration DateMarch 17, 2018
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1487157277 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
Licenses Licensed in CA · 95008657 Licensed in NV · 866856
16101 VENTURA BLVD STE 330, Encino, CA 91436

Secondary Practice Location 1

Location 14275 Burnham Ave Ste 325ALas Vegas, NV 89119-8212 · Phone (702) 703-6763

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 1487157277. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 16101 Ventura Blvd Ste 330, Encino, CA 91436. The listed phone number is (702) 703-6763.

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 June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.