Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLAS ROBERT ELLSWORTH
Active Sole ProprietorNICOLAS ROBERT ELLSWORTH is a Physician Assistant healthcare provider located in MARYVILLE, Tennessee. NPI 1477365823 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MARYVILLE, TN
Registration Details
- NPI Number
- 1477365823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2025 (1.5385014560433 yrs)
- Last Updated
- Jan 23, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1610 MADISON AVEMARYVILLE, TN, 378042931Browse TN providers · Browse ZIP 37804
- Phone
- 4803225741
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MARYVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. ANTHONY L TILLMAN | PA | 1144285289 |
| MR. BARRY KEITH PERKINS | P.A.-C. | 1790726016 |
| AMANDA ABSHER | PA-C | 1144430794 |
| MISS SUSAN D ORR | PA-C | 1184803603 |
| MRS. AMANDA E BILBREY | PA-C | 1386800258 |
| BREANNA ALISON BECK | PA-C | 1699093286 |
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.