Individual provider · Type 1 NPI

Ellen Johannessen Roquemore, R.N.

Home Health Registered Nurse · Stafford, TX

NPI number 1528568375 Active

Practice location

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Mailing address

1102 Oak Glen Ln
Sugar Land, TX 77479-6173

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X619281 (TX)

Home Health Registered Nurse: Definition to come...

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About NPI 1528568375

Ellen Johannessen Roquemore, R.N.'s National Provider Identifier is 1528568375, issued on Feb 19, 2018. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Stafford, TX. The record was last updated on Feb 19, 2018.