Derek Elvin Ellis
Nurse Practitioner - Psych/Mental Health
1324 Lakeland Hills Blvd, Lakeland
Florida, 33805-4543
863-687-1100
Derek Elvin Ellis is a Lakeland, Florida based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Derek Elvin Ellis is 11024640 for Psych/Mental Health NP in Florida. His current practice location is 1324 Lakeland Hills Blvd, Lakeland. Patients can reach him at 863-687-1100 with specialization in Psych/Mental Health NP and his NPI number (Unique professional ID assigned by NPPES) is 1720771587.
Derek Elvin Ellis provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Derek Elvin Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Derek Elvin Ellis |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Male |
| Practice Address: | 1324 Lakeland Hills Blvd, Lakeland,
Florida, 33805-4543 |
| Phone: | 863-687-1100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1720771587 |
| NPI Enumeration Date: | 30 May, 2023 |
| NPI Last Update On: | 30 May, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derek Elvin Ellis are as mentioned below.
| License Number | Specialization | State | Status | |
| 11024640 | Psych/Mental Health NP | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Derek Elvin Ellis
6604 Oakview Ter,
Tampa, Florida |
| Zip: | 33610-1646 |
| Phone Number: | 813-500-2455 |
Patients can reach Derek Elvin Ellis at
1324 Lakeland Hills Blvd, Lakeland, Florida or can
call to book an appointment on 863-687-1100.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.