Individual
TAYLOR ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-5166
(336) 649-9000
Mailing address
120 N MEDICAL DRIVE UNC-CH SON: CARRINGTON HALL, CHAPEL HILL, NC 27599-0001
(919) 966-4260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020468
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/26/2023
Last updated
07/30/2024
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