Ellis, Donna

Ellis, Donna is an individual health care provider with primary practice located at 371 Nc Hwy 65 Ste 204, Wentworth NC 27320. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Ellis, Donna can be contacted via phone (336) 342-8140.

Contact Information

Primary practice address
371 Nc Hwy 65 Ste 204 Wentworth NC 27320
Phone: (336) 342-8140
Fax: (336) 342-8128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800002 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 800002 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 800002 North Carolina

Profile Details

NPI number 1275614489
LBN Legal business name Ellis, Donna
Credentials OGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 25th, 2009 - about 15 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 1275614489 NPPES
North Carolina Other 21258 CERTIFICATION
North Carolina Other 800002 CERTIFICATION

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