DAN ELLIS GNP INC
NPI 1942552732
Nurse Practitioner - Gerontology in Port Gibson, MS

Active since October 04, 2012
703B FARMER ST, PORT GIBSON, MS 39150(601) 529-2871(601) 629-9969 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dan Ellis Gnp Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAN ELLIS GNP INC (NPI 1942552732) is a healthcare organization registered as a gerontology in Port Gibson, Mississippi and active in the NPI registry since October 2012. The organization lists Dan Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1942552732
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameDAN ELLIS GNP INC
Location Address703B FARMER STPort Gibson, MS 39150-2319
Mailing AddressPo Box 215Utica, MS 39175-0215 · (601) 529-2871 · Fax (601) 629-9969
Fax(601) 629-9969
Organization SubpartNo
Authorized OfficialDan EllisPresident · (601) 636-0097
Enumeration DateOctober 4, 2012
Last NPPES UpdateDecember 26, 2012
NPI 1942552732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MS · R826981
703B FARMER ST, Port Gibson, MS 39150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
703B FARMER ST
PORT GIBSON, MS 39150
Family Medicine
703B FARMER ST
PORT GIBSON, MS 39150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dan Ellis Gnp Inc's NPI number?

The NPI number for Dan Ellis Gnp Inc is 1942552732. It was assigned to this organization in the NPPES registry on October 4, 2012.

Where is Dan Ellis Gnp Inc located?

Dan Ellis Gnp Inc is located at 703B Farmer St, Port Gibson, MS 39150. The listed phone number is (601) 529-2871.

What is Dan Ellis Gnp Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Dan Ellis Gnp Inc was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.