person
Stefani Ellis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Kingsport, Tennessee
NPI 1063065621

Stefani Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Kingsport, TN and is specialized in Psychiatric/Mental Health. Stefani Ellis practices in Kingsport, TN and has the professional credentials of PMHNP-BC. The NPI Number for Stefani Ellis is 1063065621 and holds a License No. 26239 (Tennessee).

The current practice location address for Stefani Ellis is 1025 Executive Park Blvd, Kingsport, TN and can be reached out via phone at 423-915-6284. You can also correspond with Stefani Ellis through the mailing address at 3833 CIMARRON DR, KINGSPORT, TN - 37664-3917 (mailing address contact number: ).

Location: 1025 Executive Park Blvd, Kingsport, TN, 37664-3917
person
Provider Profile Details
NPI Number
1063065621
Provider Name
Stefani Ellis
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1025 Executive Park Blvd, Kingsport, TN, 37664-3917
Phone Number
423-915-6284
Fax Number
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1025 Executive Park Blvd
City
State
Zip
37660-4620
Phone Number
423-915-6284
Fax Number
person
Provider Business Mailing Address Details
Address
3833 Cimarron Dr
City
State
Zip
37664-3917
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26239 (Tennessee)
Definition
Definition to come...
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