person
Derek Elvin Ellis
Psychiatric/Mental Health Nurse Practitioner in Lakeland, Florida
NPI 1720771587

Derek Elvin Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Tampa, FL and is specialized in Psychiatric/Mental Health. Derek Elvin Ellis practices in Lakeland, FL. The NPI Number for Derek Elvin Ellis is 1720771587 and holds a License No. 11024640 (Florida).

The current practice location address for Derek Elvin Ellis is 1324 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-687-1100. You can also correspond with Derek Elvin Ellis through the mailing address at 6604 OAKVIEW TER, TAMPA, FL - 33610-1646 (mailing address contact number: 813-500-2455).

Location: 1324 Lakeland Hills Blvd, Lakeland, FL, 33610-1646
person
Provider Profile Details
NPI Number
1720771587
Provider Name
Derek Elvin Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1324 Lakeland Hills Blvd, Lakeland, FL, 33610-1646
Phone Number
863-687-1100
Fax Number
Provider Enumeration Date
05/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805-4543
Phone Number
863-687-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805-4543
Phone Number
863-687-1100
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.
11024640 (Florida)
Definition
Definition to come...
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