Individual provider · Type 1 NPI
Gladys Jane Ellis, FNP-BC/ARNP
Family Nurse Practitioner · Fort Pierce, FL
NPI number
1679743744
Active
Practice location
2215 Nebraska Ave Ste 3-A
Fort Pierce, FL 34950-4867
Fax (772) 489-6086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP3209162 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679743744
Gladys Jane Ellis, FNP-BC/ARNP's National Provider Identifier is 1679743744, issued on Mar 5, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Pierce, FL. The record was last updated on Jan 19, 2010.