Individual provider · Type 1 NPI

Melody Ellis

Psychiatric/Mental Health Nurse Practitioner · Kingsport, TN

NPI number 1780532457 Active

Practice location

1880 N Eastman Rd Ste 130
Kingsport, TN 37664-2385

Call (423) 915-6765 Map

Mailing address

1220 Riverbend Dr Apt 107
Kingsport, TN 37664-4094

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X41531 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1780532457

Melody Ellis's National Provider Identifier is 1780532457, issued on Mar 18, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kingsport, TN. The record was last updated on Mar 18, 2026.