Healthcare Provider Details

I. General information

NPI: 1710823455
Provider Name (Legal Business Name): ELLISON PSYCHIATRIC MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 MCKNIGHT RD # 1069
PITTSBURGH PA
15237-3423
US

IV. Provider business mailing address

615 SHIPYARD BLVD
WILMINGTON NC
28412-6431
US

V. Phone/Fax

Practice location:
  • Phone: 302-299-7881
  • Fax:
Mailing address:
  • Phone: 910-343-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIANA MILANO
Title or Position: OWNER, PSYCHIATRIC NP
Credential: MSN, PMHNP-BC
Phone: 302-299-7880