Stefani Ellis
PMHNP-BC | Nurse Practitioner - Psych/Mental Health | 6+ years Exp
1025 Executive Park Blvd, Kingsport
Tennessee, 37660-4620
423-915-6284
Stefani Ellis is a Kingsport, Tennessee based nurse practitioner with 6 years of experience in Psych/Mental Health. She completed her graduation from Lincoln Memorial University Medical Department in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stefani Ellis is 26239 for Psych/Mental Health in Tennessee. Her current practice location is 1025 Executive Park Blvd, Kingsport. Patients can reach her at 423-915-6284. Stefani Ellis is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1063065621.
Stefani 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:
Stefani 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: | Stefani Ellis |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC |
| Experience: | 6+ years |
| Medical School Attended: | Lincoln Memorial University Medical Department |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1025 Executive Park Blvd, Kingsport,
Tennessee, 37660-4620 |
| Phone: | 423-915-6284 |
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.
| PAC ID: | 0244561843 |
| Enrollment ID: | I20191014000478 |
| NPI Number: | 1063065621 |
| NPI Enumeration Date: | 22 Jul, 2019 |
| NPI Last Update On: | 01 Sep, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stefani Ellis are as mentioned below.
| License Number | Specialization | State | Status | |
| 26239 | Psych/Mental Health | Tennessee | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stefani Ellis is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Blue Ridge Medical Management Corporation (9739099441) | 291 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Stefani Ellis
3833 Cimarron Dr,
Kingsport, Tennessee |
| Zip: | 37664-3917 |
Patients can reach Stefani Ellis at
1025 Executive Park Blvd, Kingsport, Tennessee or can
call to book an appointment on 423-915-6284.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.