Individual
CASSANDRA BROOKE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2195 EUCLID AVE, BRISTOL, VA 24201-3655
(276) 669-5179
(276) 466-8870
Mailing address
PO BOX 729, SALTVILLE, VA 24370-0729
(276) 496-4433
(276) 496-0057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187560
VA
Other
Enumeration date
07/13/2023
Last updated
06/15/2026
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