person
Keidra Ellis, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1518724236

Keidra Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Evansville, KY and is specialized in Psychiatric/Mental Health. Keidra Ellis practices in Louisville, KY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Keidra Ellis is 1518724236 and holds a License No. 28221650A (Kentucky).

The current practice location address for Keidra Ellis is 1900 Bluegrass Ave, Louisville, KY and can be reached out via phone at 502-599-9397.

Location: 1900 Bluegrass Ave, Louisville, KY, 47713-1863
person
Provider Profile Details
NPI Number
1518724236
Provider Name
Keidra Ellis
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1900 Bluegrass Ave, Louisville, KY, 47713-1863
Phone Number
502-599-9397
Fax Number
Provider Enumeration Date
02/29/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1900 Bluegrass Ave
City
State
Zip
40215-1144
Phone Number
502-599-9397
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Bluegrass Ave
City
State
Zip
40215-1144
Phone Number
502-599-9397
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28221650A (Indiana)
Definition
Definition to come...
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