JAWANEKA P ELLERSON

MONTGOMERY, AL
NPI1396276127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AL  AG0117043)
Enumeration Date2017-03-23
Last Update Date2017-03-23
Business Address
Mrs. JAWANEKA P ELLERSON AG NPC
2900 MCGEHEE RD
MONTGOMERY, AL 36111-2151
Phone number: 334-280-3349
Mailing Address
Mrs. JAWANEKA P ELLERSON AG NPC
PO BOX 11087
MONTGOMERY, AL 36111-0087
Phone number: 334-481-1599
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