Individual
MELANIE JO ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
973 DUNN RD, DOTHAN, AL 36303-1056
(334) 618-2634
Mailing address
973 DUNN RD, DOTHAN, AL 36303-1056
(334) 618-2634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-115158
AL
Other
Enumeration date
07/13/2017
Last updated
08/10/2020
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