Ellis, Amber

Ellis, Amber is an individual health care provider with primary practice located at 12701 Us 70W , Clayton NC 27520-2195. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Amber can be contacted via phone (919) 235-1968.

Contact Information

Primary practice address
12701 Us 70W Clayton NC 27520-2195
Phone: (919) 235-1968
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5012261 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06190711 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5012261 North Carolina

Profile Details

NPI number 1750940847
LBN Legal business name Ellis, Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Dec 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750940847 NPPES
North Carolina MEDICAID 1750940847

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