MRS. Tisha Kim Ellis, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Fort Carson, CO. MRS. Tisha Kim Ellis, APRN, PMHNP-BC NPI is 1164058723. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1650 COCHRANE CIR
FORT CARSON, CO
ZIP 80913-613
Phone: (719) 526-0175
Fax: (719) 526-2452
The NPI 1164058723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/16/2020 and was last updated on 10/20/2023.