Misty D Ellis is a Louisville, Kentucky based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Misty D Ellis is 3005293 for Acute Care in Kentucky. Her current practice location is 231 E Chestnut St, Louisville. Patients can reach her at 502-629-6000 or can fax her at 502-629-5865. Misty D Ellis is APRN with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1588866305. Misty D Ellis specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Misty D 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:
Misty D Ellis
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
APRN
Practice Address:
231 E Chestnut St, Louisville, Kentucky, 40202-1821
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:
1588866305
NPI Enumeration Date:
04 Jun, 2007
NPI Last Update On:
21 Jul, 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 Misty D Ellis are as mentioned below.
License Number
Specialization
State
Status
3005293
Acute Care
Kentucky
Primary
3005293
Pediatrics
Kentucky
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Misty D Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100026490
Medicaid
Kentucky
200892820
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Misty D Ellis Po Box 776879, Chicago, Illinois
Zip:
60677-6879
Phone Number:
502-588-9490
Fax Number:
502-272-5116
Patients can reach Misty D Ellis at 231 E Chestnut St, Louisville, Kentucky or can call to book an appointment on 502-629-6000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.