Individual
ABIGAIL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13775 MEACHAM RD, PRAIRIE GROVE, AR 72753-8432
(512) 649-6427
Mailing address
13775 MEACHAM RD, PRAIRIE GROVE, AR 72753-8432
(512) 649-6427
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025095518
AR
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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