# DONNA ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275614489
- **Gender:** F
- **Credential:** OGNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 800002 | NC | — |
| 363LW0102X | Women's Health Nurse Practitioner | 800002 | NC | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 800002 | NC | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 11/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21258 | CERTIFICATION | NC |
| 01 | — | 800002 | LICENSE | NC |