Ellen Blair Stroupe
Nurse Practitioner - Women's Health
1660 Bonnie Ln Suite 105
Cordova
, Tennessee 38016-0518
Ellen Blair Stroupe
Nurse Practitioner - Women's Health
1660 Bonnie Ln Suite 105
Cordova
, Tennessee 38016-0518
(870) 761-1971
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ellen Blair Stroupe
- 158 Boston Cv
- Marion, AR
- Zip : 72364-8008
- Phone : (870) 761-1971
Second Address
- Ellen Blair Stroupe
- 1660 Bonnie Ln Suite 105
- Cordova, TN
- Zip : 38016-0518
- Phone : (901) 888-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | A03391 ANP | AR |
| N | 363LW0102X | Nurse Practitioner - Women's Health | APN0000015112 | TN |
National Provider Identifier
| NPI | 1043520141 |
|---|---|
| Provider Name | Ellen Blair Stroupe |
| First Address | Marion, AR 72364-8008 |
| Second Address | Cordova, TN 38016-0518 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2010 |
| Last Update Date | 07/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.