Ellis, Cynthia R

Ellis, Cynthia R is an individual health care provider with primary practice located at 621 Old Hickory Blvd Ste G , Jackson TN 38305-2911. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Cynthia R can be contacted via phone (731) 660-6402.

Contact Information

Primary practice address
621 Old Hickory Blvd Ste G Jackson TN 38305-2911
Phone: (731) 660-6402
Fax: (731) 664-6603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0000083514 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0000016607 Tennessee

Profile Details

NPI number 1831439538
LBN Legal business name Ellis, Cynthia R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2013
Last updated Feb 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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