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Individual

ASHLEY ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5107
(601) 492-4001
Mailing address
627 HIGHWAY 61 N, NATCHEZ, MS 39120-8407
(601) 492-4001

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MS

Other

Enumeration date
06/03/2026
Last updated
06/03/2026
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