NINA S ELLISON FNP NPI 1952494916

NPI Information

NPI: 1952494916
Provider Name: NINA S ELLISON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1008 LAKE MURRAY BLVD
IRMO, SC
ZIP 29063
Phone: (612) 225-1512
Get Directions

Nina S Ellison, FNP is a family nurse practitioner in Irmo, SC. Nina S Ellison, FNP NPI is 1952494916. 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:

1008 LAKE MURRAY BLVD
IRMO, SC
ZIP 29063-821
Phone: (612) 225-1512
Fax: (612) 234-4625

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/11/2009.

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	363LF0000X	Nurse Practitioner	Family	5004353	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	APRN1563	SOUTH CAROLINA	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	AA33889090	MEDICARE PIN	SOUTH CAROLINA
2	Q31328	MEDICARE UPIN	SOUTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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