Individual provider · Type 1 NPI

Audia L. Ellis, FNP

Family Nurse Practitioner · Charlotte, NC

NPI number 1962786640 Active

Practice location

10210 Couloak Dr, Ste E
Charlotte, NC 28216-7679

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 · (704) 543-6636
  • 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 28269-2206 · (704) 863-9930
  • 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715-8906 · (704) 667-3380
  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 · (704) 563-2150

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5007645 (NC)
Family Nurse Practitioner Primary 363LF0000X5007645 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1962786640

Audia L. Ellis, FNP's National Provider Identifier is 1962786640, issued on Sep 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.