NPI 1043924038
Latoya Fene Ellison
Practice location
- Address
- 26 Bent Tree Cv, Jackson, TN 38305-8935
- Phone
- (731) 267-0669
- Mailing address
- 161 W University Pkwy # 10861, Jackson, TN 38305-1857
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1043924038
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jan 2023
- Record last updated
- 13 Jan 2023
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.