person
Hannah Ellis
Family Nurse Practitioner in Spartanburg, South Carolina
NPI 1295275535

Hannah Ellis is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Hannah Ellis practices in Spartanburg, SC. The NPI Number for Hannah Ellis is 1295275535 and holds a License No. 20822 (South Carolina).

The current practice location address for Hannah Ellis is 853 N Church St Ste 700, Spartanburg, SC and can be reached out via phone at 864-560-6164 and via fax at 864-560-7092.

Location: 853 N Church St Ste 700, Spartanburg, SC, 30374-3070
person
Provider Profile Details
NPI Number
1295275535
Provider Name
Hannah Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
853 N Church St Ste 700, Spartanburg, SC, 30374-3070
Phone Number
864-560-6164
Fax Number
864-560-7092
Provider Enumeration Date
03/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCA1613365 01 SC MEDICARE PTAN
NP4391 05 SC
institution
Provider Business Practice Location Address Details
Address
853 N Church St Ste 700
City
State
Zip
29303-3003
Phone Number
864-560-6164
Fax Number
864-560-7092
person
Provider Business Mailing Address Details
Address
853 N Church St Ste 700
City
State
Zip
29303-3003
Phone Number
864-560-6164
Fax Number
864-560-7092
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20822 (South Carolina)
Definition
Definition to come...
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