IndividualActive
Vickie Ellis, APN/CNP
NPI 1619102456 · Obstetrics & Gynecology Nurse Practitioner · Champaign, IL
Provider details
- NPI number
- 1619102456
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN/CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209002125 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
201 W. Kenyon Rd
Champaign, IL 61820-7892
Phone: (217) 531-5365
Fax: (217) 531-5378
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Kenyon Rd
Champaign, IL 61820-7892
Registry dates
- Enumerated
- 2009-05-22
- Last updated
- 2012-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.