Beverly D Ellis (NPI# 1124488903, PAC ID# 3072812973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124488903 |
| PAC ID by PECOS | 3072812973 |
| Professional Enrollment ID | I20160427001694 |
| Full Name | Beverly D Ellis |
| Organization Legal Name | JUNIPER HEALTH INC |
| Address |
265 Hwy 15 S Suite 3 Jackson KY 41339-7370 |
| Phone Number | 6066669950 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2961453618 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180139 | KENTUCKY RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 | 6066669950 | JUNIPER HEALTH INC |
| Organization Legal Name | JUNIPER HEALTH INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scotty Dwayne Combs | Nurse Practitioner | Juniper Health Inc | 202 Plummer St, Campton, KY 41301-9381 |
| Derrick J Hamilton | Internal Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Jenny Faye Mullins | Family Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Allison M Manning | Nurse Practitioner | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| James B West | Physician Assistant | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Samantha Lewis | Nurse Practitioner | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Sandra Mcclure | Nurse Practitioner | Juniper Health Inc | 202 Plummer St, Campton, KY 41301-9381 |
| Brittany Fugate | Internal Medicine | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Jessica B Wilson | Physician Assistant | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Alissa Bell | Nurse Practitioner | Juniper Health Inc | 202 Plummer St, Campton, KY 41301-9381 |
| Street Address |
265 HWY 15 S SUITE 3 |
| City | JACKSON |
| State | KY |
| Zip | 41339-7370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison M Manning | Nurse Practitioner | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| James B West | Physician Assistant | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Brittany Fugate | Internal Medicine | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Jessica B Wilson | Physician Assistant | Juniper Health Inc | 265 Hwy 15 S, Suite 3, Jackson, KY 41339-7370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Bostron | Physical Therapy | 695 Ky Hwy 15n 3, Jackson, KY 41339 | |
| Cesar O Agtarap | Internal Medicine | 1550 Hwy 15 S, Suite 80, Jackson, KY 41339-0707 | |
| Susan Steitz | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Tiffany N Wright | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Maudella G Jones | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| John T Small | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Paul Smith Iii | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Jessica Ann Neace | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Martin Acevedo Barrios | General Surgery | Advanced Surgical Specialists of Ky Pllc | 1550 Hwy 15 S, Jackson, KY 41339-0717 |
| Jesus O Agomaa | Internal Medicine | Family Medical Specialty Clinic | 12 Jackson Hts, Jackson, KY 41339-6500 |
| Find all physicians in zip 41339 | |||
| City | JACKSON |
| Zip Code | 41339 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Beverly D Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.