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Contact Information

DANNY ELLIS, NP
2100 HIGHWAY 61 N
VICKSBURG, MS39183-8211
 Phone: 601-883-4250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DANNY ELLIS · (Male)

NPI Number 1760699540
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/17/2007
Last updated 08/12/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MS License # R826981
  • LA Medicaid 1029611
  • MS Medicaid 00634567
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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