Individual provider · Type 1 NPI

Justin Thomas Ellis, NP-BC, MSSM

Family Nurse Practitioner · Marietta, GA

NPI number 1336959865 Active

Practice location

1809 Canton Rd
Marietta, GA 30066-6343

Call (678) 335-4865 Map

Mailing address

4314 Sandy Pointe
Acworth, GA 30101-4975

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2024093910 (GA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1336959865

Justin Thomas Ellis, NP-BC, MSSM's National Provider Identifier is 1336959865, issued on Jan 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marietta, GA. The record was last updated on Oct 13, 2025.