Individual
ELLA EMMELINE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9051 WARWICK HWY, ARABI, GA 31712-2177
(229) 406-1141
Mailing address
9051 WARWICK HWY, ARABI, GA 31712-2177
(229) 406-1141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
286681
GA
363LF0000X
Family Nurse Practitioner
Primary
286681
GA
Other
Enumeration date
11/25/2024
Last updated
11/28/2024
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