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Bonnie Elizabeth Ellzey, FNP-C
Family Nurse Practitioner in Southaven, Mississippi
NPI 1972129609

Bonnie Elizabeth Ellzey is a Family Nurse Practitioner based in Olive Branch, MS and is specialized in Family. Bonnie Elizabeth Ellzey practices in Southaven, MS and has the professional credentials of FNP-C. The NPI Number for Bonnie Elizabeth Ellzey is 1972129609 and holds a License No. 902486 (Mississippi).

The current practice location address for Bonnie Elizabeth Ellzey is 201 Stateline Rd W Ste 5A, Southaven, MS and can be reached out via phone at 662-253-8959 and via fax at 662-470-6918.

Location: 201 Stateline Rd W Ste 5A, Southaven, MS, 38654-7640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972129609
Provider Name
Bonnie Elizabeth Ellzey
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
201 Stateline Rd W Ste 5A, Southaven, MS, 38654-7640
Phone Number
662-253-8959
Fax Number
662-470-6918
Provider Enumeration Date
06/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30309 01 TN TN BOARD OF NURSING
904198 01 MS MS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
201 Stateline Rd W Ste 5A
City
Southaven
State
Mississippi
Zip
38671-1600
Phone Number
662-253-8959
Fax Number
662-470-6918
person
Provider Business Mailing Address Details
Address
201 Stateline Rd W Ste 5A
City
Southaven
State
Mississippi
Zip
38671-1600
Phone Number
662-253-8959
Fax Number
662-470-6918
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
904198 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
904198 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
904198 (Mississippi)
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
902486 (Mississippi)
Definition
Definition to come...
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