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

Chandra Ellis, RN

Individual provider Registered Nurse · NPI 1811565120

Chandra Ellis, RN is a Registered Nurse in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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

716 Mud Lake Trl
Fort Worth, TX 76120-2037
Phone: (682) 564-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Registered Nurse Taxonomy 163W00000X · Licence 644695 (TX)

Record details

NPI number1811565120
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address716 Mud Lake Trl, Fort Worth, TX 76120-2037

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