Individual provider · Type 1 NPI

Lisa Ann Ellis

Licensed Practical Nurse · Rochester, NY

NPI number 1932071230 Active

Practice location

42 Corley Dr
Rochester, NY 14622-1242

Call (585) 324-5915 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X243616-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1932071230

Lisa Ann Ellis's National Provider Identifier is 1932071230, issued on Sep 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Sep 18, 2025.