Individual provider · Type 1 NPI

Mary Virginia Ellington, NURSE PRACTITIONER

Family Nurse Practitioner · Dixon, KY

NPI number 1285300772 Active

Practice location

1871 US41A South
Dixon, KY 42409

Fax (270) 440-2109

Mailing address

1871 US Highway 41A S
Dixon, KY 42409-9448

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3016526 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1285300772

Mary Virginia Ellington, NURSE PRACTITIONER's National Provider Identifier is 1285300772, issued on Aug 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dixon, KY. The record was last updated on Jan 7, 2025.