Individual provider · Type 1 NPI

Shevonne Lanette Ellison, NP-C

Family Nurse Practitioner · Dallas, TX

NPI number 1235623588 Active

Practice location

4055 Valley View Ln
Dallas, TX 75244-5074

Mailing address

6000 Taramore Ln
Huntsville, AL 35806-4734

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-124645 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1235623588

Shevonne Lanette Ellison, NP-C's National Provider Identifier is 1235623588, issued on Jun 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Jun 20, 2018.