NPI 1821630575

Olivia Ellison

Practitioner Nutrition Education Nutritionist Madisonville, TN

Practice location

Address: 3469 New Highway 68, Madisonville, TN 37354-5148
Phone: (423) 442-3993

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

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Registry record

NPI: 1821630575
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2019
Record last updated: 15 Oct 2019

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.