MEDICARE: BELA ELLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9568745	FL

General Provider Information

NPI Number	:	1326978131
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELA ELLIS

Provider Business Mailing Address
First Line	:	9141 CYPRESS GREEN DR STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2006
Country	:	US
Telephone Number	:	904-733-7333
Fax Number	:

Provider Business Practice Location Address
First Line	:	9141 CYPRESS GREEN DR STE 1
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-2006
Country	:	US
Telephone Number	:	904-733-7333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

Similar Medicare Providers

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Practice Location Address:

9141 CYPRESS GREEN DRIVE , SUITE 4
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1710253885 — DR. SAGAR AMIT VIJAPURA M.D.
Practice Location Address:

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1982005716 — DARBRISHA BRADLEY
Practice Location Address:

9141 CYPRESS GREEN DR STE 2
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Practice Phone: 904-647-1849
Practice Fax:

1992106710 — KAREN BECKER
Practice Location Address:

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Practice Fax:

1356706055 — LINDSEY ANDERSON
Practice Location Address:

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1881103968 — NATALIE MARIE MCHALE COTA/L
Practice Location Address:

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Directions to “ BELA ELLIS ” Practice Location

Language	Start Address	Practice Location

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