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1053878611
MELISSA ELLIS
COVINGTON, LA
NPI
1053878611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 204049)
Enumeration Date
2019-03-01
Last Update Date
2019-03-01
Business Address
MELISSA ELLIS PMHNP
201 GREENBRIER BLVD
COVINGTON, LA 70433-7236
Phone number: 985-893-2790
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Mailing Address
MELISSA ELLIS PMHNP
41452 BESS RD
PRAIRIEVILLE, LA 70769-5700
Phone number:
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