Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA ELLIS, PA
ActiveAMANDA ELLIS, PA is a Medical Physician Assistant healthcare provider located in BLAINE, Tennessee. NPI 1689388480 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BLAINE, TN
Registration Details
- NPI Number
- 1689388480
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2023 (3.5937530745134 yrs)
- Last Updated
- Jul 25, 2025
- Licenses
-
6356 (TN)RN88608 (NV)
Practice Information
- Address
-
880 RUTLEDGE PIKEBLAINE, TN, 377092317Browse TN providers · Browse ZIP 37709
- Phone
- 8659334110
- Fax
- 8659334729
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Emergency Nurse
- Additional Specialty
- Medical Physician Assistant
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.