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

Keidra Ellis, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1518724236

Keidra Ellis, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

1900 Bluegrass Ave
Louisville, KY 40215-1144
Phone: (502) 599-9397
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28221650A (IN)

Record details

NPI number1518724236
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

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