Individual
MRS. KERRI LEE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
103 E MAIN ST, BEGGS, OK 74421
(918) 267-7000
(918) 267-7077
Mailing address
PO BOX 478, 103 E MAIN ST, BEGGS, OK 74421-0478
(918) 367-0010
(918) 703-4713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100708410B
—
OK
Enumeration date
09/16/2008
Last updated
09/30/2021
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