JESSICA EZELLE NPI 1225973274

NPI Information

  • NPI: 1225973274
  • Provider Name: JESSICA EZELLE
  • Classification: Radiology - 2085R0205X
  • Specialization: Radiological Physics
  • Entity Type: Individual
  • Address: 4607 COPPOLA DR
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (912) 665-3714

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NPI Details

Jessica Ezelle is a radiological physics radiology in Mount Dora, FL. The provider is a radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety. Jessica Ezelle NPI is 1225973274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4607 COPPOLA DR
MOUNT DORA, FL
ZIP 32757-068
Phone: (912) 665-3714

The enumeration date for this NPI number is 4/23/2026 and was last updated on 4/23/2026.

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
12085R0205XRadiologyRadiological PhysicsCRT80851FLORIDAYes

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: 11/21/2025

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