IndividualActive
Courtney Ellis, CNM, APRN
NPI 1417664863 · Advanced Practice Midwife · Lexington, KY
Provider details
- NPI number
- 1417664863
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3018639 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489
Phone: (859) 264-8811
Fax: (859) 264-8822
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 772437
Detroit, MI 48277-2437
Registry dates
- Enumerated
- 2022-11-03
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.