Ellis Laffoon, Carey Ann
Ellis Laffoon, Carey Ann is an individual health care provider with primary practice located at 101 Skyline Dr , Russellville AR 72801-3363. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis Laffoon, Carey Ann can be contacted via phone (479) 968-2345.Contact Information
Primary practice address
101 Skyline Dr
Russellville AR 72801-3363
Phone: (479) 968-2345
Fax: (479) 890-2497
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A01649 | Arkansas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01649 | Arkansas |
Profile Details
NPI number | 1720284318 |
---|---|
LBN Legal business name | Ellis Laffoon, Carey Ann |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2007 |
Last updated | Jan 24th, 2020 - about 5 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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