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

Stefani Ellis, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063065621

Stefani Ellis, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1025 Executive Park Blvd
Kingsport, TN 37660-4620
Phone: (423) 915-6284
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 26239 (TN)

Record details

NPI number1063065621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESSeptember 1, 2020
Certification dateAugust 26, 2020

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