Individual
LISA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
70 PLAZA DR, PELL CITY, AL 35125-9314
(205) 814-9284
(205) 338-0865
Mailing address
70 PLAZA DR, PELL CITY, AL 35125-9314
(205) 814-9284
(205) 338-0865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-063430
AL
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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