Individual
LYNN B ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 OLD DENBIGH BLVD, SUITE 1020A, NEWPORT NEWS, VA 23602-2017
(757) 875-2009
(757) 369-1042
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166423
VA
Other
Enumeration date
11/19/2010
Last updated
02/10/2016
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