SHANA B ELLIS

RINGGOLD, GA
NPI1164938544
Former NameSHANA M WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AL  1-145902)
Enumeration Date2017-12-20
Last Update Date2024-07-09
Business Address
SHANA B ELLIS CRNP
4083 CLOUD SPRINGS RD
RINGGOLD, GA 30736-8411
Phone number: 706-820-6143
Mailing Address
SHANA B ELLIS CRNP
5086 AL HIGHWAY 73
BRYANT, AL 35958-4316
Phone number:
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