Individual
MRS. KRISTEN LEIGH ELLZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
27 S SIXTH ST, BAY SPRINGS, MS 39422-9052
(601) 764-2155
(601) 764-2150
Mailing address
507 SCR 152, MOUNT OLIVE, MS 39119-4968
(601) 323-0797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903962
MS
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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