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Individual
MRS. SARAH E ELLIS
Active
Individual
MRS. SARAH E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN256687
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003182987A
—
GA
05
—
003182987B
—
GA
Enumeration date
02/16/2011
Last updated
06/19/2018
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