NPI 1043781925

Shanon Lee Mekesa Ellis, NPC

Practitioner Family Nurse Practitioner Willoughby, OH

Practice location

Address: 6005 Som Center Rd, Willoughby, OH 44094-9646
Phone: (440) 946-7252
Mailing address: 5725 Deer Creek Dr, Willoughby, OH 44094-4185

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APRN.CNP.024564 (OH)

Other Nurse Practitioner providers in Ohio →

Registry record

NPI: 1043781925
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2018
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.