Individual provider · Type 1 NPI

Stephanie Nicole Hart Ellis, NP-C

Nurse Practitioner · Atlanta, GA

NPI number 1932445152 Active

Practice location

1365 Clifton Rd NE, Tec A4330
Atlanta, GA 30322-1013

Fax (404) 778-5495

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN156526 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1932445152

Stephanie Nicole Hart Ellis, NP-C's National Provider Identifier is 1932445152, issued on Dec 14, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 17, 2025.