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LEEANN ELLIS LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1336220672
Individual Registrant: LEEANN ELLIS LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6420 POLLARDS POND RD APPLING, GA 30802-3726 US
Tel: 706-447-7693 Fax: 706-868-3336
Tel: 706-447-7693 Fax: 706-868-3336
Contact information for business:
231 OLEANDER TRL EVANS, GA 30809-5135 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1336220672
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | GA | LPN044588 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
