Individual
ELLEN C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N STATE ST, SUITE 511, JACKSON, MS 39202-2407
(601) 968-0894
(601) 944-9780
Mailing address
1151 N STATE ST, SUITE 511, JACKSON, MS 39202-2407
(601) 968-0894
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R606804
MS
Other
Enumeration date
06/05/2012
Last updated
06/12/2012
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