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Tara Russell Ellis, NP
Student in an Organized Health Care Education/Training Program in North Charleston, South Carolina
NPI 1659951739

Tara Russell Ellis is a Student in an Organized Health Care Education/Training Program based in North Charleston, SC. Tara Russell Ellis practices in North Charleston, SC and has the professional credentials of NP. The NPI Number for Tara Russell Ellis is 1659951739 and holds a License No. 25495 (South Carolina).

The current practice location address for Tara Russell Ellis is 2680 Elms Plantation Blvd, North Charleston, SC and can be reached out via phone at 843-439-6181.

Location: 2680 Elms Plantation Blvd, North Charleston, SC, 29406-7101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659951739
Provider Name
Tara Russell Ellis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2680 Elms Plantation Blvd, North Charleston, SC, 29406-7101
Phone Number
843-439-6181
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2680 Elms Plantation Blvd
City
North Charleston
State
South Carolina
Zip
29406-7101
Phone Number
843-439-6181
Fax Number
person
Provider Business Mailing Address Details
Address
2680 Elms Plantation Blvd
City
North Charleston
State
South Carolina
Zip
29406-7101
Phone Number
843-439-6181
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25495 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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