person
Mrs. Vickie Eileen Ellis, APN/CNP
Obstetrics & Gynecology Nurse Practitioner in Champaign, Illinois
NPI 1619102456

Vickie Eileen Ellis is a Obstetrics & Gynecology Nurse Practitioner based in Champaign, IL and is specialized in Obstetrics & Gynecology. Vickie Eileen Ellis practices in Champaign, IL and has the professional credentials of APN/CNP. The NPI Number for Vickie Eileen Ellis is 1619102456 and holds a License No. 209002125 (Illinois).

The current practice location address for Vickie Eileen Ellis is 201 W. Kenyon Rd, Champaign, IL and can be reached out via phone at 217-531-5365 and via fax at 217-531-5378.

Location: 201 W. Kenyon Rd, Champaign, IL, 61820-7892
person
Provider Profile Details
NPI Number
1619102456
Provider Name
Vickie Eileen Ellis
Credential
APN/CNP
Provider Entity Type
Individual
Gender
Female
Address
201 W. Kenyon Rd, Champaign, IL, 61820-7892
Phone Number
217-531-5365
Fax Number
217-531-5378
Provider Enumeration Date
05/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W. Kenyon Rd
City
State
Zip
61820-7892
Phone Number
217-531-5365
Fax Number
217-531-5378
person
Provider Business Mailing Address Details
Address
201 W. Kenyon Rd
City
State
Zip
61820-7892
Phone Number
217-531-5365
Fax Number
217-531-5378
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
209002125 (Illinois)
Definition
Definition to come...
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