DAN ELLIS GNP INC NPI 1942552732

NPI Information

  • NPI: 1942552732
  • Provider Name: DAN ELLIS GNP INC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 703B FARMER ST
    PORT GIBSON, MS
    ZIP 39150
  • Phone: (601) 529-2871

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NPI Details

DAN ELLIS GNP INC is a gerontology nurse practitioner in Port Gibson, MS. DAN ELLIS GNP INC NPI is 1942552732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

703B FARMER ST
PORT GIBSON, MS
ZIP 39150-319
Phone: (601) 529-2871
Fax: (601) 629-9969

The provider's authorized official is Dan Ellis .
The authorized official title is President and has the following contact phone number (601) 636-0097.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 12/26/2012.

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
1363LG0600XNurse PractitionerGerontologyR826981MISSISSIPPIYes

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: 3/30/2025

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