MRS. Tisha Kim Ellis, APRN, PMHNP-BC
NPI #1164058723 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1164058723
- Entity Type
- Individual
- Name
- MRS. Tisha Kim Ellis, APRN, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN, PMHNP-BC
- Enumeration Date
- Mar 16, 2020
- Last Updated
- Aug 8, 2025
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4613
- Phone
- (719) 526-0175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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