Lawanda Nicole Ellis, FNP

NPI #1518571900 in Taylorsville, Mississippi

Provider Information

NPI Number: 1518571900
Entity Type: Individual
Name: Lawanda Nicole Ellis, FNP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: FNP
Enumeration Date: Sep 2, 2020
Last Updated: Nov 10, 2022

Practice Location

Address: 531 MS-23
City: Taylorsville
State: Mississippi
ZIP Code: 39168
Phone: (601) 785-9580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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