Ellena, Phyllis Jean

Ellena, Phyllis Jean is an sole proprietor health care provider with primary practice located at 4026 Parkway Dr , San Antonio TX 78228-2311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Ellena, Phyllis Jean can be contacted via phone (210) 219-5135.

Contact Information

Primary practice address
4026 Parkway Dr San Antonio TX 78228-2311
Phone: (210) 219-5135
Fax: (210) 434-7039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 439625 Texas

Profile Details

NPI number 1740450642
LBN Legal business name Ellena, Phyllis Jean
Credentials ADVANCED PRACTICE RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 2008 - about 17 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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