Individual provider · Type 1 NPI

Tiffany Ellis, FNP

Family Nurse Practitioner · Lake City, FL

NPI number 1215849625 Active

Practice location

1859 SW Newland Way
Lake City, FL 32025-6966

Fax (386) 755-4432

Mailing address

9239 SW 152nd Ct
Lake Butler, FL 32054-7592

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN11050983 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1215849625

Tiffany Ellis, FNP's National Provider Identifier is 1215849625, issued on Sep 21, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake City, FL. The record was last updated on Sep 21, 2026.