Individual
TAMI ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(336) 272-9990
(336) 574-8738
Mailing address
408 EDGEDALE DR, HIGH POINT, NC 27262-2908
(336) 689-1189
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
236666
NC
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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