Individual
NANCY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
6851 DISTRIBUTION AVE S, JACKSONVILLE, FL 32256-2742
(904) 387-4481
Mailing address
3253 FOX SQUIRREL DR, ORANGE PARK, FL 32073-2246
(904) 237-5907
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT237
FL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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