Individual
ELISSA D TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19472 NYS ROUTE 11, SUITE N101, WATERTOWN, NY 13601-5004
(315) 786-1924
Mailing address
19472 NYS ROUTE 11, SUITE N101, WATERTOWN, NY 13601-0265
(315) 786-1924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18018
SC
Other
Enumeration date
09/19/2012
Last updated
10/13/2021
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