institution
Dan Ellis Gnp Inc
Gerontology Nurse Practitioner in Port Gibson, Mississippi
NPI 1942552732

Dan Ellis Gnp Inc is a Gerontology Nurse Practitioner based in Utica, MS and is specialized in Gerontology. Dan Ellis Gnp Inc practices in Port Gibson, MS. The NPI Number for Dan Ellis Gnp Inc is 1942552732 and holds a License No. R826981 (Mississippi).

The current practice location address for Dan Ellis Gnp Inc is 703B Farmer St, Port Gibson, MS and can be reached out via phone at 601-529-2871 and via fax at 601-629-9969.

Location: 703B Farmer St, Port Gibson, MS, 39175-0215
institution
Provider Profile Details
NPI Number
1942552732
Provider Name
Dan Ellis Gnp Inc
Credential
Provider Entity Type
Organization
Address
703B Farmer St, Port Gibson, MS, 39175-0215
Phone Number
601-529-2871
Fax Number
601-629-9969
Provider Enumeration Date
10/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
703B Farmer St
City
State
Zip
39150-2319
Phone Number
601-529-2871
Fax Number
601-629-9969
person
Provider Business Mailing Address Details
Address
703B Farmer St
City
State
Zip
39150-2319
Phone Number
601-529-2871
Fax Number
601-629-9969
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R826981 (Mississippi)
Definition
Definition to come...
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