Individual
MARCIE ANN ELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
518 W GUM ST, MARION, KY 42064-1516
(270) 965-5238
(270) 965-9015
Mailing address
518 W. GUM STREET, P.O. BOX 559, MARION, KY 42064
(270) 965-5238
(270) 965-9015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012521
KY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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