NPI 1104291533

Carolyn Ellis

Practitioner Medical Physician Assistant Dickson, TN

Practice location

Address: 1904 Highway 46 S Suite 3, Dickson, TN 37055-7744
Phone: (615) 375-8469
Mailing address: 2203 Sandra Dr, Nashville, TN 37210-5031

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 2879 (TN)

Other Physician Assistant providers in Tennessee →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1087 (AL)

Registry record

NPI: 1104291533
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2015
Record last updated: 10 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.