Ellis, Tiffany Marie

Ellis, Tiffany Marie is an individual health care provider with primary practice located at 508 Fulton St , Durham NC 27705-3875. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ellis, Tiffany Marie can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton St Durham NC 27705-3875
Phone: (919) 286-0411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5005600 North Carolina

Profile Details

NPI number 1417216193
LBN Legal business name Ellis, Tiffany Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated Sep 24th, 2019 - about 7 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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