Ellis, Felicia

Ellis, Felicia is an individual health care provider with primary practice located at 1111 Baker Hwy W , Douglas GA 31533-2107. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Felicia can be contacted via phone (912) 389-4458.

Contact Information

Primary practice address
1111 Baker Hwy W Douglas GA 31533-2107
Phone: (912) 389-4458
Fax: (913) 389-4590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN101717 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN101717 Georgia

Profile Details

NPI number 1841224524
LBN Legal business name Ellis, Felicia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841224524 NPPES
Georgia MEDICAID 000805912A

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