Tara Russell Ellis is a North Charleston, South Carolina based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Tara Russell Ellis is 25495 in South Carolina. Her current practice location is 2680 Elms Plantation Blvd, North Charleston. Patients can reach her at 843-439-6181. Tara Russell Ellis is NP and her NPI number (Unique professional ID assigned by NPPES) is 1659951739. Tara Russell Ellis has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tara Russell 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:
Tara Russell Ellis
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Accepts Medicare Assignment:
May Accept
Practice Address:
2680 Elms Plantation Blvd, North Charleston, South Carolina, 29406-7101
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:
5193111714
Enrollment ID:
I20220407002627
NPI Number:
1659951739
NPI Enumeration Date:
12 Apr, 2021
NPI Last Update On:
20 Jan, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Russell Ellis are as mentioned below.
License Number
Specialization
State
Status
25495
South Carolina
Primary
Student in an Organized Health Care Education/Training Program
Secondary
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 Tara Russell Ellis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hospice Care Of South Carolina Llc (7113928961)
14
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tara Russell Ellis 2680 Elms Plantation Blvd, North Charleston, South Carolina
Zip:
29406-7101
Phone Number:
843-813-2914
Patients can reach Tara Russell Ellis at 2680 Elms Plantation Blvd, North Charleston, South Carolina or can call to book an appointment on 843-439-6181.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.