Individual provider · Type 1 NPI

Kimberly Carol Ellison, NP

Family Nurse Practitioner · Wytheville, VA

NPI number 1205094174 Active

Practice location

770 W Ridge Rd Ste 220
Wytheville, VA 24382-1187

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024167810 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1205094174

Kimberly Carol Ellison, NP's National Provider Identifier is 1205094174, issued on May 28, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wytheville, VA. The record was last updated on Oct 26, 2021.