Dr DAN E ELLIS is a male medical professional, specializing in Nurse Practitioner. He graduated in 2006.
1901 MISSION
SUITE 66
VICKSBURG
MS
391803711
Tel:
| Npi | 1760699540 |
| Pac Id | 9537252648 |
| Professional Enrollment Id | I20070906000176 |
| Last Name | ELLIS |
| First Name | DAN |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1901 MISSION |
| Line 2 Street Address | SUITE 66 |
| Marker Of Address Line 2 Suppression | |
| City | VICKSBURG |
| State | MS |
| Zip Code | 391803711 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 250048 |
| Hospital Affiliation Lbn 1 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 251320 |
| Hospital Affiliation Lbn 2 | CLAIBORNE COUNTY HOSPITAL |
| Hospital Affiliation Ccn 3 | 250031 |
| Hospital Affiliation Lbn 3 | MERIT HEALTH RIVER REGION |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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