Individual provider · Type 1 NPI
Tara Russell Ellis, NP
Nurse Practitioner · North Charleston, SC
Practice location
2680 Elms Plantation Blvd
North Charleston, SC 29406-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 25495 (SC) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1659951739
Tara Russell Ellis, NP's National Provider Identifier is 1659951739, issued on Apr 12, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Charleston, SC. The record was last updated on Jan 20, 2022.