Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | A003714 | AR |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP116378 | TX |
N | 363LP2300X | Nurse Practitioner - Primary Care | A003714 | AR |
NPI | 1083893036 |
---|---|
Provider Name | April Lawson Ellis |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2007 |
Last Update Date | 01/11/2021 |