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Contact Information

STACY ELLETT, LPN
323 CHURCH AVE NE
JACKSONVILLE, AL36265-1868
 Phone: 256-365-2374
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for STACY ELLETT · (Female)

NPI # 1245542786
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 07/13/2010
Last updated 07/13/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 2037893
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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