Organization
WALTON MOBILE NP OH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRUN ELLISON NP-C (NURSE PRACTITIONER)
(513) 238-5982
Entity
Organization
Contact information
Practice address
311 ELM STREET, STE C1 #1156, CINCINNATI, OH 45202-4520
(513) 238-5982
(513) 257-0418
Mailing address
1042 FUHRMAN RD, CINCINNATI, OH 45215-3936
(513) 238-5982
(513) 257-0481
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
02/21/2025
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