Individual provider · Type 1 NPI

Stacy Ellis, CFNP

Family Nurse Practitioner · Germantown, TN

NPI number 1750608287 Active

Practice location

8060 Wolf River Blvd
Germantown, TN 38138-1727

Fax (901) 271-4187

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XR884850 (MS)
Family Nurse Practitioner Primary 363LF0000X176698 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1750608287

Stacy Ellis, CFNP's National Provider Identifier is 1750608287, issued on Apr 23, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Germantown, TN. The record was last updated on Nov 4, 2013.