Individual
MS. BRANDY N ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2302 BILTMORE CV, JONESBORO, AR 72404-9300
(870) 882-1352
Mailing address
2302 BILTMORE CV, JONESBORO, AR 72404-9300
(870) 882-1352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R094993
AR
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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