Search › Georgia › 164W00000X

Patrice Ellison, LPN

NPI 1821668997 · on the registry since 2021

Practice

Address
207 Institute St
Statesboro, GA 30458
Phone
(912) 678-6713
Organisation at this address
Louden Fairfax Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-30

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 Georgia