Individual
ELLOUISE MARIE KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12 E BRUNSWICK ST, BYHALIA, MS 38611
(615) 425-4200
(615) 425-4268
Mailing address
P.O. BOX 698, BYHALIA, MS 38611
(662) 838-2163
(901) 969-1406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14920
TN
Other
Enumeration date
01/06/2012
Last updated
07/30/2014
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