MELISSA ELLIS

COVINGTON, LA
NPI1053878611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  204049)
Enumeration Date2019-03-01
Last Update Date2019-03-01
Business Address
MELISSA ELLIS PMHNP
201 GREENBRIER BLVD
COVINGTON, LA 70433-7236
Phone number: 985-893-2790
Mailing Address
MELISSA ELLIS PMHNP
41452 BESS RD
PRAIRIEVILLE, LA 70769-5700
Phone number: