Individual
FRANCINE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 552-9500
(248) 552-8144
Mailing address
17330 NORTHLAND PARK CT, SOUTHFIELD, MI 48075-4318
(248) 552-9500
(248) 552-8144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704194653
MI
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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