Provider Demographics
NPI:1114027356
Name:ELLIS, NEYSA S (PA)
Entity type:Individual
Prefix:
First Name:NEYSA
Middle Name:S
Last Name:ELLIS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 21850
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903
Mailing Address - Country:US
Mailing Address - Phone:501-321-2663
Mailing Address - Fax:501-321-9705
Practice Address - Street 1:1662 HIGDON FERRY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6999
Practice Address - Country:US
Practice Address - Phone:501-321-2663
Practice Address - Fax:501-321-9705
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2016-10-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant