Ellis, Gladys Jane
Ellis, Gladys Jane is an individual health care provider with primary practice located at 2215 Nebraska Ave Ste 3-A , Fort Pierce FL 34950-4867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Gladys Jane can be contacted via phone (772) 489-6011.Contact Information
Primary practice address
2215 Nebraska Ave Ste 3-A
Fort Pierce FL 34950-4867
Phone: (772) 489-6011
Fax: (772) 489-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP3209162 | Florida |
Profile Details
| NPI number | 1679743744 |
|---|---|
| LBN Legal business name | Ellis, Gladys Jane |
| Credentials | FNP-BC/ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Jan 19th, 2010 - about 15 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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