JESSICA EZELLE – NPI #1225973274
Radiology

A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety.

JESSICA EZELLE is a radiologist located in MOUNT DORA, FL. NPPES recently assigned the NPI number 1225973274 to JESSICA EZELLE on April 23, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0205X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiological Physics

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA EZELLE below.

NPI Profile for
JESSICA EZELLE

NPI Number
1225973274
Enumeration Date

(about 6 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA EZELLE
Primary location
4607 COPPOLA DR
MOUNT DORA, FL 32757-8068
Phone: (912) 665-3714 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0205X
- Radiology / Radiological Physics (Primary)
FL CRT80851

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.