Individual
COURTNEY L ELLIS-JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 771-2220
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338044
NY
Other
Enumeration date
07/17/2013
Last updated
10/19/2017
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