MISS ELLISA A MATHIS FNP'C NPI 1801903596

NPI Information

NPI: 1801903596
Provider Name: MISS ELLISA A MATHIS, FNP'C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
409 UVALDA ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-1359
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MISS Ellisa A Mathis, FNP'C is a family nurse practitioner in Waycross, GA. MISS Ellisa A Mathis, FNP'C NPI is 1801903596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

409 UVALDA ST
WAYCROSS, GA
ZIP 31501-574
Phone: (912) 283-1359
Fax: (912) 283-1362

The enumeration date for this NPI number is 8/25/2006 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN068928	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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