Individual
ALLISON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229273
TN
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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