Ellie Brown
Individual provider Active NPI Family Nurse Practitioner · Ethridge, TN
NPI 1043025323 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1043025323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 38150 (TN)
- Practice address
- 3911 US-43
Ethridge, TN 38456 - Phone
- (931) 321-2005
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38150 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Healthcare LLC | Family | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 38150 | TN | Yes |
Addresses
Primary practice location
3911 US-43
Ethridge, TN 38456
Mailing address
605 Toben Ter
Lawrenceburg, TN 38464-2751
Phone (931) 626-7309
Other providers in Ethridge, TN
- Brandon Adam Block
- Kaytlin Alana Brown
- Linda Sue Carter
- Emmanuel Treatment Center
- Encompass Healthcare LLC
- Sherry Hamilton
All providers in Ethridge, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.