Individual provider · Type 1 NPI
Mark D. Ellis, N.P.
Family Nurse Practitioner · Johnson City, TX
NPI number
1508868530
Active
Practice location
208 Haley Rd
Johnson City, TX 78636-4617
Fax (830) 868-4606
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 609633 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP108475 (TX) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Scott & White Hospital - Marble FallsRural Health Clinic/Center Johnson City, TX NPI 1639511207
- Dan G. Severa, MDFamily Medicine Physician Johnson City, TX NPI 1750319323
- David Allan White, DDSDentist Johnson City, TX NPI 1154475150
- John Phillip Frasure, PA-CPhysician Assistant Johnson City, TX NPI 1093787400
Other family nurse practitioner providers in Johnson City
About NPI 1508868530
Mark D. Ellis, N.P.'s National Provider Identifier is 1508868530, issued on Aug 10, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TX. The record was last updated on Aug 10, 2021.