Ellison, Nina S

Ellison, Nina S is an individual health care provider with primary practice located at 1008 Lake Murray Blvd , Irmo SC 29063-2821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellison, Nina S can be contacted via phone (612) 225-1512.

Contact Information

Primary practice address
1008 Lake Murray Blvd Irmo SC 29063-2821
Fax: (612) 234-4625
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN1563 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004353 North Carolina

Profile Details

NPI number 1952494916
LBN Legal business name Ellison, Nina S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 11th, 2009 - about 17 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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