Bonnie Elizabeth Ellzey
FNP-C | Nurse Practitioner
201 Stateline Rd W Ste 5a, Southaven
Mississippi, 38671-1600
662-253-8959
Bonnie Elizabeth Ellzey is a Southaven, Mississippi based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Bonnie Elizabeth Ellzey is 904198 for Family in Mississippi. Her current practice location is 201 Stateline Rd W Ste 5a, Southaven. Patients can reach her at 662-253-8959 or can fax her at 662-470-6918. Bonnie Elizabeth Ellzey is FNP-C with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1972129609.
Bonnie Elizabeth Ellzey has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Bonnie Elizabeth Ellzey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Bonnie Elizabeth Ellzey |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Practice Address: | 201 Stateline Rd W Ste 5a, Southaven,
Mississippi, 38671-1600 |
| Phone: | 662-253-8959 |
| Fax: | 662-470-6918 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1972129609 |
| NPI Enumeration Date: | 18 Jun, 2020 |
| NPI Last Update On: | 24 Jun, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bonnie Elizabeth Ellzey are as mentioned below.
| License Number | Specialization | State | Status | |
| 904198 | Family | Mississippi | Primary | |
| 902486 | Registered Nurse | Mississippi | Secondary | |
| 904198 | Family Medicine | Mississippi | Secondary | |
| 904198 | Family Medicine | Mississippi | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Bonnie Elizabeth Ellzey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30309 | Other | Tennessee | TN BOARD OF NURSING |
| 904198 | Other | Mississippi | MS BOARD OF NURSING |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bonnie Elizabeth Ellzey
3715 Cypress Plantation Dr,
Olive Branch, Mississippi |
| Zip: | 38654-7640 |
| Phone Number: | 901-674-4161 |
| Fax Number: | 662-470-6918 |
Patients can reach Bonnie Elizabeth Ellzey at
201 Stateline Rd W Ste 5a, Southaven, Mississippi or can
call to book an appointment on 662-253-8959.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.