Individual
KRISTA A. ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
705 NEWMAN RD, NEW BERN, NC 28562-5239
(252) 633-2712
(252) 633-5418
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 635-3906
(252) 224-0378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020184
NC
363LF0000X
Family Nurse Practitioner
APRN61701-FNP-BC
WV
Other
Enumeration date
09/10/2018
Last updated
07/26/2024
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