BEVIN LYLE ELLENBERG

JASPER, AL
NPI1780100776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-140234)
Enumeration Date2017-08-21
Last Update Date2026-06-15
Business Address
BEVIN LYLE ELLENBERG CRNP
3500 HIGHWAY 78 E STE A
JASPER, AL 35501-8908
Phone number: 205-387-0333
Mailing Address
BEVIN LYLE ELLENBERG CRNP
PO BOX 18428
HUNTSVILLE, AL 35804-8428
Phone number: 256-705-4224
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