Individual provider · Type 1 NPI

Tina Ellis, APRN

Family Nurse Practitioner · Olive Branch, MS

NPI number 1770152415 Active

About NPI 1770152415

Tina Ellis, APRN's National Provider Identifier is 1770152415, issued on Jun 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olive Branch, MS. The record was last updated on Oct 25, 2022.