Individual provider · Type 1 NPI
Istmenia Ellis
Family Nurse Practitioner · Stafford, TX
NPI number
1669177465
Active
Practice location
12310 Meadow Ridge Dr
Stafford, TX 77477-2249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1096900 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669177465
Istmenia Ellis's National Provider Identifier is 1669177465, issued on Apr 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stafford, TX. The record was last updated on Apr 3, 2023.