Individual
NYKEA ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4100 BEECHER RD STE A, FLINT, MI 48532-3661
(810) 342-3801
Mailing address
4100 BEECHER RD STE A, FLINT, MI 48532-3661
(810) 342-3801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704278183
MI
Other
Enumeration date
12/23/2019
Last updated
06/21/2022
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