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MS. BEVERLY DAWN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1484 LAKESIDE DRIVE, JACKSON, KY 41339-6555
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010157
KY

Other

Enumeration date
03/07/2016
Last updated
05/04/2022
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