=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780810721
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANITRA DOLORES ELLERBY-BROWN FNP-BC, CNM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2009
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2000 MALLORY LN STE 290
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37067-6287
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-236-6408
-----------------------------------------------------
Fax | 949-312-3999
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2000 MALLORY LN STE 290
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37067-6287
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-236-6408
-----------------------------------------------------
Fax | 949-312-3999
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367A00000X
-----------------------------------------------------
Taxonomy Name | Advanced Practice Midwife
-----------------------------------------------------
License Number | 13719
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 13719
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------