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Lawanda Nicole Ellis, FNP
Student in an Organized Health Care Education/Training Program in Taylorsville, Mississippi
NPI 1518571900

Lawanda Nicole Ellis is a Student in an Organized Health Care Education/Training Program based in Taylorsville, MS. Lawanda Nicole Ellis practices in Taylorsville, MS and has the professional credentials of FNP. The NPI Number for Lawanda Nicole Ellis is 1518571900 and holds a License No. 901770 (Mississippi).

The current practice location address for Lawanda Nicole Ellis is 531 Ms-23, Taylorsville, MS and can be reached out via phone at 601-785-9580.

Location: 531 Ms-23, Taylorsville, MS, 39168-5791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518571900
Provider Name
Lawanda Nicole Ellis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
531 Ms-23, Taylorsville, MS, 39168-5791
Phone Number
601-785-9580
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
531 Ms-23
City
Taylorsville
State
Mississippi
Zip
39168
Phone Number
601-785-9580
Fax Number
person
Provider Business Mailing Address Details
Address
531 Ms-23
City
Taylorsville
State
Mississippi
Zip
39168
Phone Number
601-785-9580
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
901770 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
901770 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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