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

Ellen Clark Davies, NP

Individual provider Family Nurse Practitioner · NPI 1134579972

Ellen Clark Davies, NP is a Nurse Practitioner in New York, New York. Qualified in 2016, 10 years ago. Works from 3 locations. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

17 E 102nd St Fl 3
New York, NY 10029
Phone: (212) 241-7968
Fax: (212) 824-2312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 275 7th Ave, New York, NY 10001-6708 — (212) 604-1701
  • 17 E 102nd St Fl 3, New York, NY 10029 — (212) 241-7968

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 341606 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 623297 (NY)

Record details

NPI number1134579972
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESOctober 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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