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1083361570
KANISHA ELLIS
HENDERSONVILLE, TN
NPI
1083361570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN APN0000029777)
Enumeration Date
2022-03-04
Last Update Date
2022-03-09
Business Address
KANISHA ELLIS NP
1010 GLENBROOK WAY
HENDERSONVILLE, TN 37075-1230
Phone number: 615-476-2950
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Mailing Address
KANISHA ELLIS NP
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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