Individual
DARLENE D ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2212
(606) 433-0638
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2212
(606) 433-0638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008024
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100263460
—
KY
Enumeration date
07/01/2013
Last updated
09/22/2022
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