Lora Ellis in Jonesboro - Licensed Practical Nurse

Lora Ellis - NPI 1265642755

Lora Ellis is a Licensed Practical Nurse in Jonesboro, Arkansas. Lora Ellis practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lora Ellis is 1265642755. The last update date is 2007-07-08.

Lora Ellis's current location address is 2707 Browns Ln, Jonesboro, Arkansas. You can contact this provider via phone number 8709724939 and fax number 8709724911. The mailing address for Lora Ellis is 2707 Browns Ln, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lora Ellis
Address 2707 Browns Ln, Jonesboro, Arkansas
Phone Number 8709724939
Fax Number 8709724911
Sole Proprietor Y
Credentials LPN

NPI Number Detail

NPI Number 1265642755
Provider Enumeration Date 2007-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2707 Browns Ln
City Jonesboro
State Arkansas (AR)
Post Code 724017213
Phone Number 8709724939
Fax Number 8709724911

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No L36362
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Lora Ellis

What is the Lora Ellis's unique identification number?

The Lora Ellis has been assigned the NPI (National Provider Identifier) Number 1265642755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lora Ellis's facilities are situated?

The facilities of Lora Ellis are physically located at the following address: 2707 Browns Ln, Jonesboro, AR, 724017213.

What is Lora Ellis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lora Ellis is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.

On what date did the Lora Ellis receive its 1265642755 assignment from the Centers for Medicare & Medicaid Services?

The Lora Ellis was assigned its 1265642755 by the Centers for Medicare & Medicaid Services on 2007-05-23.

As of what date were the details pertaining to Lora Ellis last refreshed?

The information related to the Lora Ellis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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