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Cortney Shantres Ellis
Family Nurse Practitioner in Belton, South Carolina
NPI 1396380283

Cortney Shantres Ellis is a Family Nurse Practitioner based in Anderson, SC and is specialized in Family. Cortney Shantres Ellis practices in Belton, SC. The NPI Number for Cortney Shantres Ellis is 1396380283 and holds a License No. 23492 (South Carolina).

The current practice location address for Cortney Shantres Ellis is 110 Evans Dr, Belton, SC and can be reached out via phone at 864-356-4598.

Location: 110 Evans Dr, Belton, SC, 29621-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396380283
Provider Name
Cortney Shantres Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Evans Dr, Belton, SC, 29621-1565
Phone Number
864-356-4598
Fax Number
Provider Enumeration Date
11/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Evans Dr
City
Belton
State
South Carolina
Zip
29627-9464
Phone Number
864-356-4598
Fax Number
person
Provider Business Mailing Address Details
Address
110 Evans Dr
City
Belton
State
South Carolina
Zip
29627-9464
Phone Number
864-356-4598
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
23492 (South Carolina)
Definition
Definition to come...
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