Individual
MRS. BETSY DELL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
645 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7268
(355) 361-7656
Mailing address
645 MCQUEEN SMITH RD N STE 105, PRATTVILLE, AL 36066-7263
(615) 891-8944
(334) 361-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-158032
AL
363LF0000X
Family Nurse Practitioner
Primary
2016024249
AL
Other
Enumeration date
05/02/2017
Last updated
07/21/2022
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