Search › North Carolina › 1041C0700X
Jerome Ellis
NPI 1023008638 · on the registry since 2005
Practice
- Address
- 2803 Medical Campus Dr.
Seymour Johnson Afb
Goldsboro, NC 27531 - Phone
- (919) 722-0969
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina