Individual
MRS. ASHLEY ROSE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1702 MEDICAL PARK DR W, WILSON, NC 27893-2878
(252) 243-7944
(252) 243-6097
Mailing address
203 GRACE DR NW, WILSON, NC 27896-1334
(919) 696-5744
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5021616
NC
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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