SearchArkansas385H00000X

Destiny Ellison

NPI 1053285999 · on the registry since 2025

Practice

Address
9715 Labette Dr
Little Rock, AR 72205
Phone
(501) 413-2167

Registry record

Primary taxonomy
385H00000X
385H00000X
Also registered as
251E00000X
385HR2060X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas