Individual
CONSTANCE ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 E GREENWOOD, HOPE, AR 71854
(870) 777-9800
(870) 777-9811
Mailing address
2904 ARKANSAS BLVD, TEXARKANA, AR 71854-2536
(870) 773-4655
(870) 772-4650
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R092493
AR
Other
Enumeration date
03/15/2007
Last updated
01/03/2014
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