Derek Elvin Ellis

Nurse Practitioner - Psych/Mental Health

1324 Lakeland Hills Blvd, Lakeland
  Florida, 33805-4543
863-687-1100
May or may not accept Medicare Nurse Anesthetist in Lakeland, Florida.
Derek Elvin Ellis is a Lakeland, Florida based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Derek Elvin Ellis is 11024640 for Psych/Mental Health 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 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: Psych/Mental Health Nurse Practitioner (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 NumberSpecializationStateStatus
11024640Psych/Mental Health FloridaPrimary
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.