NPI 1326343765

Selina Y Ellis

Practitioner Nurse's Aide Conyers, GA

Practice location

Address: 2055 Gees Mill Rd NE Suite 327, Conyers, GA 30013-1362
Phone: (770) 679-5714
Fax: (888) 273-6606
Mailing address: PO Box 81314, Conyers, GA 30013-9314

Registered specialties (3)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Attendant Care Provider

Nursing Service Related Providers Taxonomy 3747A0650X

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Registry record

NPI: 1326343765
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2011
Record last updated: 26 Sep 2012

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.