Lookup NPI Numbers from the NPI Registry
NPI Profile for BONNIE E ELLZEY in SOUTHAVEN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1972129609 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 06/18/2020 | |
| Last updated | 06/24/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BONNIE E ELLZEY
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BONNIE E ELLZEY, FNP-C