ALICIA LEE ELLSBERRY

GULFPORT, MS
NPI1497374490
Former NameALICIA BEASLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  903899)
Enumeration Date2020-04-10
Last Update Date2020-04-10
Business Address
ALICIA LEE ELLSBERRY FNP
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-867-5201
Mailing Address
ALICIA LEE ELLSBERRY FNP
4500 13TH ST
GULFPORT, MS 39501-2569
Phone number: 228-575-1194
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