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Kelley D Ellis, RNFA,CNOR
Medical-Surgical Registered Nurse in Fort Worth, Texas
NPI 1073622858

Kelley D Ellis is a Medical-Surgical Registered Nurse based in Fort Worth, TX and is specialized in Medical-Surgical. Kelley D Ellis practices in Fort Worth, TX and has the professional credentials of RNFA,CNOR. The NPI Number for Kelley D Ellis is 1073622858 and holds a License No. 551667 (Texas).

The current practice location address for Kelley D Ellis is 1900 Mistletoe Blvd Ste 200, Fort Worth, TX and can be reached out via phone at 817-878-5333 and via fax at 817-878-5334.

Location: 1900 Mistletoe Blvd Ste 200, Fort Worth, TX, 76104-4049
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Provider Profile Details
NPI Number
1073622858
Provider Name
Kelley D Ellis
Credential
RNFA,CNOR
Provider Entity Type
Individual
Gender
Female
Address
1900 Mistletoe Blvd Ste 200, Fort Worth, TX, 76104-4049
Phone Number
817-878-5333
Fax Number
817-878-5334
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89N921 01 TX BCBS OF TX
0672032 01 TX CIGNA
7521427 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
1900 Mistletoe Blvd Ste 200
City
State
Zip
76104-4049
Phone Number
817-878-5333
Fax Number
817-878-5334
person
Provider Business Mailing Address Details
Address
1900 Mistletoe Blvd Ste 200
City
State
Zip
76104-4049
Phone Number
817-878-5333
Fax Number
817-878-5334
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
551667 (Texas)
Definition
Definition to come...
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