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TARA ELLIS, NP
NP
Nurse Practitioner
NPI: 1659951739IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
25495(SC)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 2680 ELMS PLANTATION BLVD
NORTH CHARLESTON, SC 29406 - Phone
- (843) 439-6181
Quick Facts
- NPI
- 1659951739
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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