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Individual

HANNAH ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1722 PINE ST STE 204, MONTGOMERY, AL 36106-1158
(334) 293-6825
(334) 293-6826
Mailing address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 293-8736
(334) 293-8738

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-148728
AL
363L00000X
Nurse Practitioner
Primary
1-148728
AL

Other

Enumeration date
12/29/2017
Last updated
12/29/2017
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