IndividualActive
Jeffrey Ellison, MD
NPI 1407040488 · Gastroenterology Physician · Fayetteville, AR
Provider details
- NPI number
- 1407040488
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-6356 (AR)
Practice location
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone: (479) 521-8200
Fax: (479) 582-7310
Mailing address
Po Box 1523
Fayetteville, AR 72702-1523
Registry dates
- Enumerated
- 2007-09-01
- Last updated
- 2021-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.