| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SANDRA ELLIS | 1649921123 | 2022-01-15 |
Sandra Ellis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649921123. Registration indicates Sandra Ellis is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Registered Nurse Psych/Mental Health, Nursing Service Providers) (Registered Nurse, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Sandra Ellis FNP |
| Practice Office Address | 902 GALLIA ST PORTSMOUTH, OH US |
| Practice Office Telephone | 7405292125 |
| Mailing Address | 902 GALLIA ST PORTSMOUTH, OH 456624139 US |
| Code | Practice | License No State |
|---|---|---|
| 163WP0808X | Nursing Service Providers Registered Nurse Registered Nurse: Psych/Mental Health All Other Specialties & Provider Types Registered Nurse Psych/Mental Health Nursing Service Providers Registered Nurse | 296873
OH |
| 363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 3017937
KY |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 0031591
OH |