person
Mrs. Tisha Kim Ellis, APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Fort Carson, Colorado
NPI 1164058723

Tisha Kim Ellis is a Psychiatric/Mental Health Nurse Practitioner based in Fort Carson, CO and is specialized in Psychiatric/Mental Health. Tisha Kim Ellis practices in Fort Carson, CO and has the professional credentials of APRN,PMHNP-BC. The NPI Number for Tisha Kim Ellis is 1164058723 and holds a License No. 113116 (Colorado).

The current practice location address for Tisha Kim Ellis is 1650 Cochrane Cir, Fort Carson, CO and can be reached out via phone at 719-526-0175 and via fax at 719-526-2452.

Location: 1650 Cochrane Cir, Fort Carson, CO, 80913-4613
person
Provider Profile Details
NPI Number
1164058723
Provider Name
Tisha Kim Ellis
Credential
APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1650 Cochrane Cir, Fort Carson, CO, 80913-4613
Phone Number
719-526-0175
Fax Number
719-526-2452
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1650 Cochrane Cir
City
State
Zip
80913-4613
Phone Number
719-526-0175
Fax Number
719-526-2452
person
Provider Business Mailing Address Details
Address
1650 Cochrane Cir
City
State
Zip
80913-4613
Phone Number
719-526-0175
Fax Number
719-526-2452
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
113116 (Nebraska)
Definition
Definition to come...
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