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Danny Ellis, NP
Gerontology Nurse Practitioner in Vicksburg, Mississippi
NPI 1760699540

Danny Ellis is a Gerontology Nurse Practitioner based in Vicksburg, MS and is specialized in Gerontology. Danny Ellis practices in Vicksburg, MS and has the professional credentials of NP. The NPI Number for Danny Ellis is 1760699540 and holds a License No. R826981 (Mississippi).

The current practice location address for Danny Ellis is 2100 Highway 61 N, Vicksburg, MS and can be reached out via phone at 601-883-4250.

Location: 2100 Highway 61 N, Vicksburg, MS, 39183-8211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760699540
Provider Name
Danny Ellis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2100 Highway 61 N, Vicksburg, MS, 39183-8211
Phone Number
601-883-4250
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00634567 05 MS
1029611 05 LA
institution
Provider Business Practice Location Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-4250
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-4250
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R826981 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
R826981 (Mississippi)
Definition
Definition to come...
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