Brianna Ellis
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Haughton, LA
NPI 1104735638 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1104735638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 353 Camden HL
Haughton, LA 71037-8779 - Phone
- (318) 617-3503
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
353 Camden HL
Haughton, LA 71037-8779
Mailing address
353 Camden HL
Haughton, LA 71037-8779
Other providers in Haughton, LA
- Lance Danos
- Shondreika Tenae Davis
- James Claudius Degueurce III
- Paul Alan Edwards
- Elite Medical Resources
- Ann Marie Engle
- Entrum Care Inc
- Entrum Care Inc
- Entrum Care Inc
- Entrum Care Inc
All providers in Haughton, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.