IndividualActive
Jennifer Ellerbe, MS
NPI 1841007283 · Other Technician · Grayson, GA
Provider details
- NPI number
- 1841007283
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 199759 (GA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1344 Swallows Walk
Grayson, GA 30017-1736
Phone: (770) 364-2623
Approximate (ZIP-level) locationGet directions
Mailing address
1344 Swallows Walk
Grayson, GA 30017-1736
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.