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

Mr. Christa Lynne Ellingsworth, NP

Individual provider Family Nurse Practitioner · NPI 1770655995

Mr. Christa Lynne Ellingsworth, NP is a Family Nurse Practitioner in Clarkston, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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

5724 Shannon Ln
Clarkston, MI 48348-5165
Phone: (248) 393-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704195469 (MI)

Record details

NPI number1770655995
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 14, 2006
Last updated in NPPESJuly 8, 2007

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