Individual
MRS. ALISA SUE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
197 PLEASANT ST, HINTON, WV 25951-2540
(304) 466-2501
(304) 466-2513
Mailing address
3547 TRUE RD., HINTON, WV 25951
(304) 716-1440
(304) 466-2513
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
80451
WV
Other
Enumeration date
04/02/2013
Last updated
05/20/2024
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