Individual provider · Type 1 NPI

Shana B. Ellis, CRNP

Family Nurse Practitioner · Ringgold, GA

NPI number 1164938544 Active

Practice location

4083 Cloud Springs Rd
Ringgold, GA 30736-8411

Fax (706) 956-8171

Mailing address

5086 Al Highway 73
Bryant, AL 35958-4316

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-145902 (AL)
Family Nurse Practitioner 363LF0000XRN268083 (GA)
Family Nurse Practitioner 363LF0000X26341 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1164938544

Shana B. Ellis, CRNP's National Provider Identifier is 1164938544, issued on Dec 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ringgold, GA. The record was last updated on Oct 13, 2026.