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JEAN ELLIS
NPI 1770979262
Peer Specialist in Oklahoma City, OK

Active since April 10, 2015
3804 N LAND AVE, OKLAHOMA CITY, OK 73112(405) 820-6156 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jean Ellis NPPES

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

JEAN ELLIS (NPI 1770979262) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1770979262
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJEAN ELLIS
Location Address3804 N LAND AVEOklahoma City, OK 73112-6515
Mailing Address3804 N Land AveOklahoma City, OK 73112-6515
Phone(405) 820-6156
Sole ProprietorYes
Enumeration DateApril 10, 2015
✔ NPI 1770979262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3804 N LAND AVE, Oklahoma City, OK 73112
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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 Jean Ellis's NPI number?

The NPI number for Jean Ellis is 1770979262. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Jean Ellis located?

Jean Ellis practices at 3804 N Land Ave, Oklahoma City, OK 73112. The listed phone number is (405) 820-6156.

What is Jean Ellis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jean Ellis was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.