Individual
COURTNEY LYNN ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 325-1234
Mailing address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 325-1234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79056
NC
376K00000X
Nurse's Aide
448583
NC
Other
Enumeration date
07/28/2014
Last updated
10/13/2015
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