Individual
MS. KERRI A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
76 FOLLETTE ST, GRAFTON, MA 01519-1022
(508) 954-7420
(508) 529-7024
Mailing address
76 FOLLETTE ST, GRAFTON, MA 01519-1022
(508) 954-7420
(508) 529-7024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
233757
MA
363LA2100X
Acute Care Nurse Practitioner
233757
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
233757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073123A
—
MA
Enumeration date
09/19/2006
Last updated
12/08/2024
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