Individual provider · Type 1 NPI
Autumn Denise Ellis, FNP-C
Family Nurse Practitioner · Halls, TN
NPI number
1194301242
Active
Practice location
320 S Church St
Halls, TN 38040-1510
Mailing address
3189 Garrett Ball Rd
Gates, TN 38037-5206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 29129 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Halls
About NPI 1194301242
Autumn Denise Ellis, FNP-C's National Provider Identifier is 1194301242, issued on Mar 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Halls, TN. The record was last updated on Mar 19, 2021.