Individual provider · Type 1 NPI

Denise Ellis, AGAC-NP-BC

Gerontology Nurse Practitioner · Orlando, FL

NPI number 1962968156 Active

Practice location

258 S Chickasaw Trl Ste 202
Orlando, FL 32825-3501

Fax (407) 303-6537

Mailing address

1918 58th St S
Gulfport, FL 33707-4802

Other practice locations

  • 625 E Twiggs St Ste 103, Tampa, FL 33602-3925 · (813) 228-7696

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11019533 (FL)
Nurse Practitioner 363L00000XAPRN11019533 (FL)

Gerontology Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1962968156

Denise Ellis, AGAC-NP-BC's National Provider Identifier is 1962968156, issued on Feb 13, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Orlando, FL. The record was last updated on Oct 31, 2023.