DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BONNIE ELIZABETH ELLZEY, FNP-C

Active Sole Proprietor

Family Nurse Practitioner · SOUTHAVEN, MS

Registration Details

NPI Number
1972129609
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2020 (5.8534195966177 yrs)
Last Updated
Jun 24, 2022
Licenses
902486 (MS)
904198 (MS)
904198 (MS)
904198 (MS)
Sole Proprietor
Yes

Practice Information

Address
201 STATELINE RD W STE 5A
SOUTHAVEN, MS, 386711600
Browse MS providers · Browse ZIP 38671
Phone
6622538959
Fax
6624706918
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Medicine
Additional Specialty
Adolescent Medicine
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SOUTHAVEN, MS

Name Credential NPI
JOSEPH ANTHONY VISCONTI FNP 1699773820
MARY BRETT MILLER NP 1093774267
MS. STEPHANIE J DURDEN ARNP 1154370740
PAULA R MILLER APRN 1972532224
REBECCA HOLLY T ROBERTSON FNP 1033221106
REGINA G SEATON FNP 1487757365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.