Individual
MERRI DORETHA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 WASHINGTON PL NE, WASHINGTON, DC 20018-1070
(202) 544-7580
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 420-5038
(334) 420-0158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1105095
AL
363LF0000X
Family Nurse Practitioner
Primary
NP500021596
DC
Other
Enumeration date
12/08/2010
Last updated
01/21/2025
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