Individual provider · Type 1 NPI

Danny Ellis, NP

Nurse Practitioner · Vicksburg, MS

NPI number 1760699540 Active

Practice location

2100 Highway 61 N
Vicksburg, MS 39183-8211

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR826981 (MS)
Gerontology Nurse Practitioner 363LG0600XR826981 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1760699540

Danny Ellis, NP's National Provider Identifier is 1760699540, issued on May 17, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 12, 2008.