MEDICARE: DANIELLA S ELLIS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R87-3851	MS

General Provider Information

NPI Number	:	1528149531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLA S ELLIS FNP

Provider Business Mailing Address
First Line	:	PO BOX 789
Second Line	:
City	:	TUNICA
State	:	MS
Zip	:	38676-0789
Country	:	US
Telephone Number	:	662-357-0012
Fax Number	:	662-357-0021

Provider Business Practice Location Address
First Line	:	11273 HIGHWAY 61 N
Second Line	:
City	:	ROBINSONVILLE
State	:	MS
Zip	:	38664-9705
Country	:	US
Telephone Number	:	662-357-0012
Fax Number	:	662-357-0021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	08/12/2013

Similar Medicare Providers

1326556184 — ANGELA EALY NP
Practice Location Address:

11273 HIGHWAY 61 N
ROBINSONVILLE, MS
38664-9705

Practice Phone: 662-363-3224
Practice Fax: 662-363-3234

1659046399 — SHALETHA MARTIN NP
Practice Location Address:

11273 HIGHWAY 61 N
ROBINSONVILLE, MS
38664-9705

Practice Phone: 662-363-3224
Practice Fax: 662-363-3234

1861623852 — PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
Practice Location Address:

1021 CASINO CENTER DR
ROBINSONVILLE, MS
38664-9708

Practice Phone: 662-357-3264
Practice Fax: 662-357-6092

1720037005 — DR. BOBBY YOUNG JOE M.D.
Practice Location Address:

13615 OLD HIGHWAY 61 NORTH , HARRAH'S TAKE CARE HEALTH AND WELLNESS CLINIC
ROBINSONVILLE, MS
38664

Practice Phone: 662-357-3264
Practice Fax:

1033258926 — MS. MELANIE JO HILL MSN, APRN, FNP-BC
Practice Location Address:

1021 CASINO CENTER DR , CAESAR'S HEALTH AND WELLNESS CENTER
ROBINSONVILLE, MS
38664-9708

Practice Phone: 662-357-3264
Practice Fax: 662-357-6092

1891931069 — MS. GARNETTE MILLER DNP FNP BC
Practice Location Address:

1150 CASINO STRIP RESORT BLVD
ROBINSONVILLE, MS
38664

Practice Phone: 662-357-7707
Practice Fax: 662-357-7807

Directions to “ DANIELLA S ELLIS FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.