Brandy N Ellis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R094993 Issued in AR

Practice address

2302 Biltmore CV
Jonesboro, AR 72404-9300

Phone

(870) 882-1352

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1407445067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 BILTMORE CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049300",
            "telephone_number": "870-882-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 BILTMORE CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049300",
            "telephone_number": "870-882-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BRANDY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R094993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Ellington
• Tracy Ellington, DPM
• Mary Elliott, RRT
• Robyn Elliott, PTA
• Ashley Ellis
• Holly Ellis
• Joel Andrew Ellis, LCSW
• Juanita Ellis
• Lora Ellis, LPN
• Lori Ellis, R.N.

• Registered Nurse in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.