Individual
KANISHA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 GLENBROOK WAY, HENDERSONVILLE, TN 37075-1230
(615) 476-2950
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000029777
TN
Other
Enumeration date
03/04/2022
Last updated
03/09/2022
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