STEFANI ELLIS

KINGSPORT, TN
NPI1063065621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  26239)
Enumeration Date2019-07-22
Last Update Date2020-09-01
Business Address
STEFANI ELLIS PMHNP-BC
1025 EXECUTIVE PARK BLVD
KINGSPORT, TN 37660-4620
Phone number: 423-915-6284
Mailing Address
STEFANI ELLIS PMHNP-BC
3833 CIMARRON DR
KINGSPORT, TN 37664-3917
Phone number:
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