Shanon Lee Mekesa Ellis, NP-C

NPI #1043781925 in Willoughby, Ohio

Provider Information

NPI Number
1043781925
Entity Type
Individual
Name
Shanon Lee Mekesa Ellis, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Dec 17, 2018
Last Updated
Feb 5, 2020

Practice Location

Address
6005 SOM CENTER RD
State
Ohio
ZIP Code
44094-9646
Phone
(440) 946-7252

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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