TIFFANY MARIE ELLIS NP
NPI 1417216193
Nurse Practitioner - Adult Health in Durham, NC
About Tiffany Marie Ellis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY MARIE ELLIS NP (NPI 1417216193) is an individual adult health provider in Durham, North Carolina, licensed in North Carolina (5005600) and active in the NPI registry since May 2012. She maintains a secondary practice location in Rocky Mount.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURHAM, NC 27705
DURHAM, NC 27705
DURHAM, NC 27705
DURHAM, NC 27705
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiffany Ellis's NPI number?
The NPI number for Tiffany Ellis is 1417216193. It was assigned to this individual provider in the NPPES registry on May 15, 2012.
Where is Tiffany Ellis located?
Tiffany Ellis practices at 508 Fulton St, Durham, NC 27705. The listed phone number is (919) 286-0411.
What is Tiffany Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
When was this NPI record last updated?
The NPPES record for Tiffany Ellis was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tiffany Marie Ellis, NP · NPI 1417216193
Adult Health physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1417216193 (Entity type: Individual)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5005600 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 508 FULTON ST, Durham, NC 27705-3875
- **Phone:** (919) 286-0411
## Record status
- **NPPES last updated:** September 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417216193) · Data from the CMS NPPES public registry.