Hannah Nicole Ellis

NPI #1619607447 in Dierks, Arkansas

Provider Information

NPI Number: 1619607447
Entity Type: Individual
Name: Hannah Nicole Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 1124 MAIN AVE
City: Dierks
State: Arkansas
ZIP Code: 71833-9421
Phone: (870) 784-0884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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