DANNY ELLIS

VICKSBURG, MS
NPI1760699540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R826981)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MS  R826981)
Enumeration Date2007-05-17
Last Update Date2008-08-12
Business Address
-- DANNY ELLIS NP
2100 HIGHWAY 61 N
VICKSBURG, MS 39183-8211
Phone number: 601-883-4250
Mailing Address
-- DANNY ELLIS NP
2100 HIGHWAY 61 N
VICKSBURG, MS 39183-8211
Phone number: 601-883-4250