Ida Ellis, CNA
NPI #1134079528 in Grantville, Georgia
Provider Information
- NPI Number
- 1134079528
- Entity Type
- Individual
- Name
- Ida Ellis, CNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Credential
- CNA
- Enumeration Date
- Feb 3, 2026
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 1874 SEWELL RD
- City
- Grantville
- State
- Georgia
- ZIP Code
- 30220-2609
- Phone
- (770) 755-7020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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