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

Cynthia R Ellis

Individual provider Registered Nurse · NPI 1831439538

Cynthia R Ellis is a Registered Nurse in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
Specialties on file
2

Practice location Address checks out

621 Old Hickory Blvd Ste G
Jackson, TN 38305-2911
Phone: (731) 660-6402
Fax: (731) 664-6603
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0000016607 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000083514 (TN)

Record details

NPI number1831439538
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2013
Last updated in NPPESFebruary 18, 2013

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