Individual
ELIZABETH A. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Mailing address
1703 N COUNTY ROAD 67, SKIPPERVILLE, AL 36374-5834
(334) 701-0224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-106812
AL
Other
Enumeration date
05/23/2023
Last updated
03/20/2024
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