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1093430225
DESTINEY N ELLIS
HOT SPRINGS, AR
NPI
1093430225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 222059)
Enumeration Date
2022-10-10
Last Update Date
2022-10-26
Business Address
DESTINEY N ELLIS FNP-C
100 MCGOWAN CT
HOT SPRINGS, AR 71913-6452
Phone number: 501-525-9675
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Mailing Address
DESTINEY N ELLIS FNP-C
330 BURCHWOOD BAY RD APT E38
HOT SPRINGS, AR 71913-7180
Phone number: 501-276-4075
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