Individual
SHARON JORDAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2470
Mailing address
619 HWY 19 S, AMERICUS, GA 31719-9273
(229) 928-0561
(229) 928-9935
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RN079315
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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