Stephen Richard Ellis, MD
Psychiatry & Neurology, Psychiatry in Durham, NC. Individual provider (NPI-1).
NPI number1174106967
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1174106967
- Entity type
- Individual (NPI-1)
- Name
- Stephen Richard Ellis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2021
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 2025-01035 | NC | Yes |
Practice location
2213 Elba StDurham, NC 27705-3934
Phone 919-684-0100
Mailing address
2213 Elba StDurham, NC 27705-3934
Phone 919-684-0100
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