Provider Demographics
NPI:1922093756
Name:FERRELL, ELLEN ANN (MSN)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:ANN
Last Name:FERRELL
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:ANN
Other - Last Name:HUFFARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4200
Mailing Address - Fax:
Practice Address - Street 1:123 NORTHCREEK BLVD
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1998
Practice Address - Country:US
Practice Address - Phone:615-851-5860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015085363L00000X
TNRN0000113761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q31951Medicare UPIN
TN3649351Medicare PIN