Dan Ellis Gnp Inc
Dan Ellis Gnp Inc is a Gerontology Nurse Practitioner in Port Gibson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
703B Farmer StPort Gibson, MS 39150-2319
Phone: (601) 529-2871
Fax: (601) 629-9969
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence R826981 (MS) |
|---|
Record details
| NPI number | 1942552732 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dan Ellis — President · (601) 636-0097 |
| NPI enumerated | October 4, 2012 |
| Last updated in NPPES | December 26, 2012 |
| Mailing address | Po Box 215, Utica, MS 39175-0215 |