Individual
MS. PATRICIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 LEROY ST, POTSDAM, NY 13676-1786
(315) 229-5392
Mailing address
41 JUDSON ST, CANTON, NY 13617-1146
(315) 244-0686
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302348-1
NY
363LF0000X
Family Nurse Practitioner
F333393-1
NY
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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