Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carissa Ellis, RN

Individual provider Registered Nurse · NPI 1740632496

Carissa Ellis, RN is a Registered Nurse in Mastic Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

74 Mill Dr
Mastic Beach, NY 11951-1403
Phone: (631) 578-5758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 22 717140 (NY)

Record details

NPI number1740632496
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 6, 2016
Mailing addressPo Box 5582, Bay Shore, NY 11706-0411

Other providers in Mastic Beach