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

Dustin Tyler Ellison

Individual provider Case Manager/Care Coordinator · NPI 1528738424

Dustin Tyler Ellison is a Case Manager/Care Coordinator in Maryville, Tennessee. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1652 E Broadway Ave
Maryville, TN 37804-2914
Phone: (865) 681-6990
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1528738424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021

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