CYNTHIA R ELLIS


Address: 621 Old Hickory Blvd Ste G, Jackson, TN 38305-2911
Phone: 7316606402

CYNTHIA R ELLIS (NPI# 1831439538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831439538
Entity Type Individual
Full Name CYNTHIA R ELLIS
Practice Address 621 Old Hickory Blvd Ste G
Jackson
TN 38305-2911
Practice Telephone 7316606402
Practice Fax Number 7316646603
Mailing Telephone 7316606402
Mailing Fax Number 7316646603
Enumeration Date 2013-02-18
Last Update Date 2013-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 0000083514 TN Nursing Service Providers
Y 363L00000X Nurse Practitioner 0000016607 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers CYNTHIA ELLIS

NPI Name Taxonomy Address Enumeration
1326116971 Cynthia A Ellis Physical Therapist 1519 Taylor St, Columbia, SC 29201-2918 2006-12-01
1962479808 Cynthia Lynn Ellis Specialist/Technologist 3505 Mccarrell Ln, Knoxville, TN 37920-4757 2006-02-28
1205364387 Cynthia Ellis Physical Therapy Assistant 110 Fairfax Rd, Saint Albans, VT 05478-6299 2017-06-01
1093146482 Cynthia Rose Ellis Registered Nurse 2250 Soquel Ave, Suite 150, Santa Cruz, CA 95062-1402 2013-12-10
1790009058 Cynthia Marie Ellis Social Worker 1545 Atlantic Ave, 4th Floor Mica Unit, Brooklyn, NY 11213-1122 2010-03-16
1538347901 Cynthia K Ellis Pharmacist 5 Bel Air South Pkwy, Suite 301, Bel Air, MD 21015-6091 2008-02-07
1821283086 Cynthia Ellis Social Worker 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5674 2007-09-11
1831215144 Cynthia G Ellis Psychologist 105 Medway Street, Providence, RI 02906 2007-03-21
1043381403 Cynthia Eorio Ellis Counselor 1412 W Washington St, Boise, ID 83702-5038 2006-11-09
1760415517 Cynthia Graham Ellis Social Worker 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 2006-07-07

Office Location

Street Address 621 OLD HICKORY BLVD STE G
City JACKSON
State TN
Zip Code 38305-2911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811028475 Heather N Mcfarland Nurse Practitioner 621 Old Hickory Blvd Ste G, Jackson, TN 38305-2911 2007-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
Find all providers in zip 38305

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332546 Jaleesa Atkins Nurse Practitioner 4266 Springbrook Rd, Jackson, MI 49201-9716 2020-07-01
1457983785 Amos N Macharia Nurse Practitioner 2130 Ridge Rd, Jackson, MO 63755-1612 2020-02-05
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1851934723 Hannah Louise Keel Nurse Practitioner 623 Gettysburg Dr, Jackson, TN 38305-7886 2019-10-23
1013559186 Kirsten Siler Nurse Practitioner 27a Medical Center Drive, Jackson, TN 38301-3949 2019-10-10
1801447693 Milestone Primary Care House Calls, LLC Nurse Practitioner 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131 2019-09-24
1750855870 Michael L Chesney Nurse Practitioner 6055 Jordan Rd, Jackson, MI 49201-9580 2019-01-12
1609356500 Angela Sophia Mcreynolds Nurse Practitioner 2500 N State St Rm S347, Jackson, MS 39216-4500 2018-08-20
1679050132 Alicia Faye Green Nurse Practitioner 908 Bella Vista Dr, Jackson, MO 63755-7863 2018-07-26
1982119228 Felix Taylor Nurse Practitioner 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 2017-12-08
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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