Individual provider · Type 1 NPI

Katiescarlett Ennis, PA-C

Surgical Physician Assistant · Nashville, TN

NPI number 1306714258 Active

Practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001

Call (615) 322-5000 Map

Mailing address

3841 Green Hills Village Dr
Nashville, TN 37215-2691

Other practice locations

  • 719 Thompson Ln, Nashville, TN 37204-3609 · (615) 322-2350
  • 1210 Medical Center Dr, Nashville, TN 37232-0008 · (615) 936-3759

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X6800 (TN)
Surgical Physician Assistant Primary 363AS0400X6800 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1306714258

Katiescarlett Ennis, PA-C's National Provider Identifier is 1306714258, issued on Oct 23, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nashville, TN. The record was last updated on Dec 4, 2025.