Individual
MS. PATRICIA DIANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000011798
TN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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