MRS. VICKIE EILEEN ELLIS APN/CNP NPI 1619102456

NPI Information

NPI: 1619102456
Provider Name: MRS. VICKIE EILEEN ELLIS, APN/CNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
201 W. KENYON RD
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 531-5365
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MRS. Vickie Eileen Ellis, APN/CNP is an obstetrics and gynecology nurse practitioner in Champaign, IL. MRS. Vickie Eileen Ellis, APN/CNP NPI is 1619102456. 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:

201 W. KENYON RD
CHAMPAIGN, IL
ZIP 61820-892
Phone: (217) 531-5365
Fax: (217) 531-5378

The enumeration date for this NPI number is 5/22/2009 and was last updated on 8/17/2012.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	209002125	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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