JOHN GREGORY ELLIS NPI 1790421626

NPI Information

NPI: 1790421626
Provider Name: JOHN GREGORY ELLIS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
7050 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 878-4081
Get Directions

John Gregory Ellis is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. John Gregory Ellis NPI is 1790421626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7050 S HIGHLAND DR STE 210
SALT LAKE CITY, UT
ZIP 84121-762
Phone: (801) 878-4081
Fax: (801) 583-2500

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11252944-3102	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »