Individual
NATALIE JAYNE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2030 LAY DAM RD, CLANTON, AL 35045-8344
(205) 258-4405
Mailing address
11705 COUNTY ROAD 29, CLANTON, AL 35045-7839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148424
AL
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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