Individual
BRENNAN PHILLIP ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
513 BROOKWOOD BLVD STE 275, BIRMINGHAM, AL 35209-6806
(205) 502-4700
(877) 353-3589
Mailing address
513 BROOKWOOD BLVD STE 275, BIRMINGHAM, AL 35209-6806
(205) 502-4700
(877) 353-3589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-161961
AL
363LF0000X
Family Nurse Practitioner
Primary
1-161961
AL
Other
Enumeration date
11/28/2021
Last updated
05/01/2026
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