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Misty D Ellis, APRN
Acute Care Nurse Practitioner in Louisville, Kentucky
NPI 1588866305

Misty D Ellis is an Acute Care Nurse Practitioner based in Chicago, KY and is specialized in Acute Care. Misty D Ellis practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Misty D Ellis is 1588866305 and holds a License No. 3005293 (Kentucky).

The current practice location address for Misty D Ellis is 231 E Chestnut St, Louisville, KY and can be reached out via phone at 502-629-6000 and via fax at 502-629-5865.

Location: 231 E Chestnut St, Louisville, KY, 60677-6879
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Provider Profile Details
NPI Number
1588866305
Provider Name
Misty D Ellis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
231 E Chestnut St, Louisville, KY, 60677-6879
Phone Number
502-629-6000
Fax Number
502-629-5865
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100026490 05 KY
200892820 05 IN
institution
Provider Business Practice Location Address Details
Address
231 E Chestnut St
City
State
Zip
40202-1821
Phone Number
502-629-6000
Fax Number
502-629-5865
person
Provider Business Mailing Address Details
Address
231 E Chestnut St
City
State
Zip
40202-1821
Phone Number
502-629-6000
Fax Number
502-629-5865
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
3005293 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
3005293 (Kentucky)
Definition
Definition to come...
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