National Provider Identifier Database

DANNY ELLIS, NP – NPI #1760699540
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

DANNY ELLIS, NP
2100 HIGHWAY 61 N
VICKSBURG, MS39183-8211
Phone: 601-883-4250
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Gerontology 363LG0600X

* Indicates primary specialty

NPI Profile & details for DANNY ELLIS

NPI Number 1760699540
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/17/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • MS License #: R826981
  • LA Medicaid: 1029611
  • MS Medicaid: 00634567
Hospital affiliation n/a

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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