Individual
CRISSY N ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, CLC
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
164156
TN
367A00000X
Advanced Practice Midwife
Primary
39133
TN
Other
Enumeration date
04/30/2025
Last updated
07/12/2025
Update your record
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