Individual
ELIZABETH CAROLINE ELLISON-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13111 EASTPOINT PARK BLVD, LOUISVILLE, KY 40223-4164
(502) 430-1200
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 895-8970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008204
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100301660
—
KY
Enumeration date
08/07/2013
Last updated
01/25/2024
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