Provider Demographics
NPI:1427946284
Name:DORNIER, ELLEN CHRISTIE (FNP-C)
Entity type:Individual
Prefix:
First Name:ELLEN CHRISTIE
Middle Name:
Last Name:DORNIER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ELLEN CHRISTIE
Other - Middle Name:YOUNG
Other - Last Name:DORNIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1444 RIDGELAND DRIVE
Mailing Address - Street 2:N/A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810
Mailing Address - Country:US
Mailing Address - Phone:225-615-0984
Mailing Address - Fax:
Practice Address - Street 1:17000 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3246
Practice Address - Country:US
Practice Address - Phone:225-755-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241725363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily