DAN ELLIS GNP INC; NPI #1942552732

Contact Information

DAN ELLIS GNP INC

703B FARMER ST
PORT GIBSON, MS 39150-2319

Phone: 601-529-2871
Fax: 601-629-9969
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	363LG0600X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for DAN ELLIS GNP INC

NPI Number 1942552732

LBN Legal business name DAN ELLIS GNP INC

Authorized official DAN ELLIS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/04/2012

Last updated 12/26/2012 - About 13 years ago

Identifiers

License #

R826981

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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