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

Shanna Ellis, RN

Individual provider Medical-Surgical Registered Nurse · NPI 1770171522

Shanna Ellis, RN is a Medical-Surgical Registered Nurse in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

5405 Rural Way
Louisville, KY 40218-4247
Phone: (502) 741-0193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 1119268 (KY)

Record details

NPI number1770171522
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021
Mailing address5405 Rural Way, Louisville, KY 40218-4247

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