Individual provider · Type 1 NPI
Susan Ellis, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Roseburg, OR
NPI number
1750706800
Active
Practice location
621 W Madrone St
Roseburg, OR 97470-3090
Fax (541) 492-4556
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202114835NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Roseburg
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- Janus Maybee, FNPPsychiatric/Mental Health Nurse Practitioner Roseburg, OR NPI 1255327151
- Andrea Shea Witham, FNP-C, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Roseburg, OR NPI 1275982324
About NPI 1750706800
Susan Ellis, PMHNP's National Provider Identifier is 1750706800, issued on Feb 26, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Roseburg, OR. The record was last updated on Sep 29, 2025.