MRS. SHERRI O ELLIS ANP NPI 1740553502

NPI Information

NPI: 1740553502
Provider Name: MRS. SHERRI O ELLIS, ANP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BAPTIST MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
9400 UNIVERSITY PKWY
SUITE 210
PENSACOLA, FL
ZIP 32514
Phone: (850) 208-6160
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MRS. Sherri O Ellis, ANP is a family nurse practitioner in Pensacola, FL with 19 years of experience. MRS. Sherri O Ellis, ANP NPI is 1740553502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9400 UNIVERSITY PKWY
SUITE 210
PENSACOLA, FL
ZIP 32514-752
Phone: (850) 208-6160

The NPI 1740553502 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 2/9/2012 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP06746	LOUISIANA	No
2	363LF0000X	Nurse Practitioner	Family	ARNP9435185	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IP715Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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