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
Fax: (772) 489-6086
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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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