| Doctor Name: | ELLEN BLAIR STROUPE |
| NPI Number: | 1043520141 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | APN0000015112 |
| Business Practice Address: | 1660 Bonnie Ln Suite 105 Cordova, TN - 380160518 |
| Business Phone Number: | 9018881000 |
| Business Fax Number: | |
| Mailing Address: | 158 Boston Cv, MARION |
| State: | AR |
| Postal Code: | 723648008 |
| Phone Number: | 8707611971 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2010 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | APN0000015112 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |