Individual provider · Type 1 NPI

Tisha Kim Ellis, APRN, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Fort Carson, CO

NPI number 1164058723 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Fax (719) 526-2452

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X113116 (NE)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1164058723

Tisha Kim Ellis, APRN, PMHNP-BC's National Provider Identifier is 1164058723, issued on Mar 16, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Carson, CO. The record was last updated on Aug 8, 2025.