Ellis, Tonya L

Ellis, Tonya L is an sole proprietor health care provider with primary practice located at 740 Main St Ste C, Tracy City TN 37387-4020. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Health Service, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ellis, Tonya L can be contacted via phone (931) 592-9199.

Contact Information

Primary practice address
740 Main St Ste C Tracy City TN 37387-4020
Phone: (931) 592-9199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 16863 Tennessee
Ambulatory Health Care Facilities / Health Service 261QH0100X 16863 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16863 Tennessee

Profile Details

NPI number 1568726289
LBN Legal business name Ellis, Tonya L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Feb 13th, 2014 - about 11 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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