Individual
ELIZABETH ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
294 PLEASANT ST STE 205, STOUGHTON, MA 02072-2571
(781) 436-3352
(781) 436-3590
Mailing address
138 UTICA ST APT 1, QUINCY, MA 02169-3237
(617) 997-7768
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2355465
MA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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