Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA MAE ELLISON APRN
NPI 1669341194
Nurse Practitioner - Family in Clarksville, TN

Active since November 03, 2025
1812 HAYNES ST, CLARKSVILLE, TN 37043(615) 410-4990 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Angela Mae Ellison Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA MAE ELLISON APRN (NPI 1669341194) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (APRN43138) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1669341194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA MAE ELLISONCredential: APRN
Location Address1812 HAYNES STClarksville, TN 37043-4547
Mailing Address1812 Haynes StClarksville, TN 37043-4547 · (615) 410-4990
Sole ProprietorNo
Enumeration DateNovember 3, 2025
Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1669341194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APRN43138
1812 HAYNES ST, Clarksville, TN 37043

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1812 HAYNES ST
CLARKSVILLE, TN 37043
Dermatology
1812 HAYNES ST
CLARKSVILLE, TN 37043
Dermatology
1812 HAYNES ST
CLARKSVILLE, TN 37043

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 Angela Ellison's NPI number?

The NPI number for Angela Ellison is 1669341194. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Angela Ellison located?

Angela Ellison practices at 1812 Haynes St, Clarksville, TN 37043. The listed phone number is (615) 410-4990.

What is Angela Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Angela Ellison was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.