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Amber Ellis
Family Nurse Practitioner in Clayton, North Carolina
NPI 1750940847

Amber Ellis is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Amber Ellis practices in Clayton, NC. The NPI Number for Amber Ellis is 1750940847 and holds a License No. 5012261 (North Carolina).

The current practice location address for Amber Ellis is 12701 Us 70W, Clayton, NC and can be reached out via phone at 919-235-1968. You can also correspond with Amber Ellis through the mailing address at PO BOX 602195, CHARLOTTE, NC - 28260-2195 (mailing address contact number: 877-498-4490).

Location: 12701 Us 70W, Clayton, NC, 28260-2195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750940847
Provider Name
Amber Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
12701 Us 70W, Clayton, NC, 28260-2195
Phone Number
919-235-1968
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750940847 05 NC
institution
Provider Business Practice Location Address Details
Address
12701 Us 70W
City
Clayton
State
North Carolina
Zip
27520-2195
Phone Number
919-235-1968
Fax Number
person
Provider Business Mailing Address Details
Address
12701 Us 70W
City
Clayton
State
North Carolina
Zip
27520-2195
Phone Number
919-235-1968
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
F06190711 (Florida)
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
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5012261 (North Carolina)
Definition
Definition to come...
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