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

Katherine Ellis

Individual provider Pediatric Nurse Practitioner · NPI 1043706393

Katherine Ellis is a Pediatric Nurse Practitioner in Summerville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018

Practice location Address checks out

2016 1st Ave
Summerville, SC 29486-0408
Phone: (843) 432-3109
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 22035 (SC)

Record details

NPI number1043706393
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018

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