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Individual

EMILY JO ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
801 N GRAND AVE, MT PLEASANT, IA 52641-3120
(319) 984-4775
Mailing address
PO BOX 127, RICHLAND, IA 52585-0127
(641) 799-9738

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A170328
IA

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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