Elledge, Vanessa Lynn

Elledge, Vanessa Lynn is an individual health care provider with primary practice located at 22710 Professional Dr Suite 202, Kingwood TX 77339-6008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Elledge, Vanessa Lynn can be contacted via phone (281) 312-8521.

Contact Information

Primary practice address
22710 Professional Dr Suite 202 Kingwood TX 77339-6008
Phone: (281) 312-8521
Fax: (281) 359-7971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04602 Texas

Profile Details

NPI number 1467675454
LBN Legal business name Elledge, Vanessa Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Oct 31st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467675454 NPPES
Texas Other PA04602 LICENSE

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