Danny Ellis, NP
Nurse Practitioner in Vicksburg, MS. Individual provider (NPI-1).
NPI number1760699540
StatusActive
Last updated in NPPESAug 12, 2008
Details
- NPI
- 1760699540
- Entity type
- Individual (NPI-1)
- Name
- Danny Ellis
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2007
- Last updated
- Aug 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R826981 | MS | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | R826981 | MS |
Practice location
2100 Highway 61 NVicksburg, MS 39183-8211
Phone 601-883-4250
Mailing address
2100 Highway 61 NVicksburg, MS 39183-8211
Phone 601-883-4250
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