Individual
MRS. STEPHANIE LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 557-4991
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219
(513) 557-4991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA- 14557-NP
OH
Other
Enumeration date
08/13/2013
Last updated
10/26/2020
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