IndividualActive
Amber Ellis, FNP-BC
NPI 1093049983 · Family Nurse Practitioner · Logan, WV
Provider details
- NPI number
- 1093049983
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 61591 (WV)
Mailing address
140 Stollings Ave
Logan, WV 25601-4035
Registry dates
- Enumerated
- 2009-09-24
- Last updated
- 2011-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.