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

TARA RUSSELL ELLIS, NP

Active

TARA RUSSELL ELLIS, NP is a Nurse Practitioner healthcare provider located in NORTH CHARLESTON, South Carolina. NPI 1659951739 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · NORTH CHARLESTON, SC

Registration Details

NPI Number
1659951739
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2021 (5.3204515991319 yrs)
Last Updated
Jan 20, 2022
License
25495 (SC)

Practice Information

Address
2680 ELMS PLANTATION BLVD
NORTH CHARLESTON, SC, 294067101
Browse SC providers · Browse ZIP 29406
Phone
8434396181
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in NORTH CHARLESTON, SC

Name Credential NPI
MS. MARY MARGARET BROWN FNP 1932179843
KIMBERLY LYNN RHOTON ANP 1013248822
ANISHA SHERRIE HEZEKIAH NP 1689094997
MISS BROOKE BROWN COYNE AGPCNP-BC 1821495425
CYNTHIA WORLEY NURSE PRACTITIONER 1558748202
CHELSEY KIGHT ANP 1669905741
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.