Individual
MICHELLE LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 TATE BLVD SE STE 182, HICKORY, NC 28602-4042
(828) 569-2880
(828) 569-1565
Mailing address
915 TATE BLVD SE STE 182, HICKORY, NC 28602-4042
(828) 569-2880
(828) 569-1565
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
F11250688
NC
363L00000X
Nurse Practitioner
Primary
F11250688
NC
Other
Enumeration date
12/10/2025
Last updated
12/11/2025
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