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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN ELLIS

Active

CAROLYN ELLIS is a Medical Physician Assistant healthcare provider located in DICKSON, Tennessee. NPI 1104291533 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · DICKSON, TN

Registration Details

NPI Number
1104291533
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2015 (10.661618084844 yrs)
Last Updated
Dec 10, 2015
Licenses
2879 (TN)
1087 (AL)

Practice Information

Address
1904 HIGHWAY 46 S
SUITE 3
DICKSON, TN, 370557744
Browse TN providers · Browse ZIP 37055
Phone
6153758469
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in DICKSON, TN

Name Credential NPI
JEFFREY D KAUPPI PA 1720081821
MRS. HEATHER COATES P.A.-C 1992740682
MARLA LANE SMITH PAC 1437217197
TIFFANY DOTSON PA-C 1033459672
AUSTIN B MARLOW PA 1316462740
EDEN BUCHANAN CNMT 1164091146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.