person
Carly Ellison, APN
Primary Care Nurse Practitioner in Springfield, Illinois
NPI 1508245028

Carly Ellison is a Primary Care Nurse Practitioner based in Springfield, IL and is specialized in Primary Care. Carly Ellison practices in Springfield, IL and has the professional credentials of APN. The NPI Number for Carly Ellison is 1508245028 and holds a License No. 209012884 (Illinois).

The current practice location address for Carly Ellison is 2901 Old Jacksonville Rd, Springfield, IL and can be reached out via phone at 217-698-9722 and via fax at 217-391-0392.

Location: 2901 Old Jacksonville Rd, Springfield, IL, 62704-7437
person
Provider Profile Details
NPI Number
1508245028
Provider Name
Carly Ellison
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
2901 Old Jacksonville Rd, Springfield, IL, 62704-7437
Phone Number
217-698-9722
Fax Number
217-391-0392
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2901 Old Jacksonville Rd
City
State
Zip
62704-7437
Phone Number
217-698-9722
Fax Number
217-391-0392
person
Provider Business Mailing Address Details
Address
2901 Old Jacksonville Rd
City
State
Zip
62704-7437
Phone Number
217-698-9722
Fax Number
217-391-0392
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209012884 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
209012884 (Illinois)
Definition
Definition to come...
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