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Istmenia Ellis
Family Nurse Practitioner in Stafford, Texas
NPI 1669177465

Istmenia Ellis is a Family Nurse Practitioner based in Stafford, TX and is specialized in Family. Istmenia Ellis practices in Stafford, TX. The NPI Number for Istmenia Ellis is 1669177465 and holds a License No. 1096900 (Texas).

The current practice location address for Istmenia Ellis is 12310 Meadow Ridge Dr, Stafford, TX and can be reached out via phone at 832-483-4781.

Location: 12310 Meadow Ridge Dr, Stafford, TX, 77477-2249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669177465
Provider Name
Istmenia Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
12310 Meadow Ridge Dr, Stafford, TX, 77477-2249
Phone Number
832-483-4781
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12310 Meadow Ridge Dr
City
Stafford
State
Texas
Zip
77477-2249
Phone Number
832-483-4781
Fax Number
person
Provider Business Mailing Address Details
Address
12310 Meadow Ridge Dr
City
Stafford
State
Texas
Zip
77477-2249
Phone Number
832-483-4781
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1096900 (Texas)
Definition
Definition to come...
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