MRS. Jawaneka P Ellerson, AG NPC
NPI #1396276127 in Montgomery, Alabama
Provider Information
- NPI Number
- 1396276127
- Entity Type
- Individual
- Name
- MRS. Jawaneka P Ellerson, AG NPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- AG NPC
- Enumeration Date
- Mar 23, 2017
- Last Updated
- Mar 23, 2017
Practice Location
- Address
- 2900 MCGEHEE RD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36111-2151
- Phone
- (334) 280-3349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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