Individual
MRS. TISHA KIM ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-0175
(719) 526-2452
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-0175
(719) 526-2452
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
113116
NE
Other
Enumeration date
03/16/2020
Last updated
08/08/2025
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