Danny Ellis, NP Valid NPI

Individual provider · Nurse Practitioner · Vicksburg, MS

NPI

1760699540

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

R826981 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-17

Last updated

2008-08-12