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Individual

COURTNEY L ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Contact information

Practice address
1720 NICHOLASVILLE RD STE 702, LEXINGTON, KY 40503-1489
(859) 264-8811
(859) 264-8822
Mailing address
PO BOX 772437, DETROIT, MI 48277-2437
(173) 575-7304
(317) 575-7333

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
3018639
KY

Other

Enumeration date
11/03/2022
Last updated
03/01/2023
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