Individual
MR. JOHN STEVEN ELLIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
13835 BOREN ST, HUNTERSVILLE, NC 28078-6476
(704) 912-2222
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 1110, AUSTIN, TX 78759-7203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018142
NC
363LF0000X
Family Nurse Practitioner
F05230248
NC
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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