Individual provider · Type 1 NPI

Sandra Huddleston Ellis, RN

Community Health Registered Nurse · Cleveland, TN

NPI number 1003028390 Active

Practice location

201 Dooley St SE
Cleveland, TN 37311-6220

Fax (423) 479-6130

Mailing address

3632 Steeple Chase Ln NE
Cleveland, TN 37323-5742

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN0000092176 (TN)

Community Health Registered Nurse: Definition to come...

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About NPI 1003028390

Sandra Huddleston Ellis, RN's National Provider Identifier is 1003028390, issued on May 7, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Cleveland, TN. The record was last updated on Jul 8, 2007.