Individual provider · Type 1 NPI

Ellie Diane Koehly

Psychiatric/Mental Health Nurse Practitioner · Dickson, TN

NPI number 1174333298 Active

Practice location

812 N Charlotte St
Dickson, TN 37055-1009

Mailing address

PO Box 5777
Maryville, TN 37802-5777

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X39701 (TN)
Registered Nurse 163W00000X281590 (TN)

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

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About NPI 1174333298

Ellie Diane Koehly's National Provider Identifier is 1174333298, issued on Jan 10, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dickson, TN. The record was last updated on Nov 4, 2025.