Individual provider · Type 1 NPI

Michelle Lynn Ellis

Nurse Practitioner · Hickory, NC

NPI number 1093679524 Active

Practice location

915 Tate Blvd SE Ste 182
Hickory, NC 28602-4042

Fax (828) 569-1565

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF11250688 (NC)
Pain Medicine (Anesthesiology) Physician 207LP2900XF11250688 (NC)

Nurse Practitioner: (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 wit…

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About NPI 1093679524

Michelle Lynn Ellis's National Provider Identifier is 1093679524, issued on Dec 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hickory, NC. The record was last updated on Dec 11, 2025.