Ellis, Erica Shere'
Ellis, Erica Shere' is an sole proprietor health care provider with primary practice located at 256 Honeysuckle Rd Ste 3 , Dothan AL 36305-1168. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ellis, Erica Shere' can be contacted via phone (334) 350-5648.Contact Information
Primary practice address
256 Honeysuckle Rd Ste 3
Dothan AL 36305-1168
Phone: (334) 350-5648
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1-136193 | Alabama |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 1-136193 | Alabama |
Profile Details
NPI number | 1053885012 |
---|---|
LBN Legal business name | Ellis, Erica Shere' |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 13th, 2019 |
Last updated | Oct 12th, 2021 - 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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