Individual
NANCY LYNNE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 DOWELL SPRINGS BLVD STE 200, KNOXVILLE, TN 37909-2457
(865) 584-0291
(865) 584-4426
Mailing address
939 SNOWDEN FARM RD, COLLIERVILLE, TN 38017-8988
(901) 860-0687
(901) 850-8489
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
09608
MS
2085R0202X
Diagnostic Radiology Physician
Primary
13698
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012597
—
MS
05
—
Q052520
—
TN
Enumeration date
04/04/2007
Last updated
09/21/2023
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