Ellis, Karen L.

Ellis, Karen L. is an individual health care provider with primary practice located at 810 Hospital Dr Ste 200 , Beaumont TX 77701-4654. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ellis, Karen L. can be contacted via phone (409) 212-5512.

Contact Information

Primary practice address
810 Hospital Dr Ste 200 Beaumont TX 77701-4654
Phone: (409) 212-5512
Fax: (409) 212-5898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP110025 Texas

Profile Details

NPI number 1255341434
LBN Legal business name Ellis, Karen L.
Credentials RN, ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 30th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255341434 NPPES
Texas Other 8N8667 BLUE CROSS & BLUE SHIELD
Texas MEDICAID 147715001 BLUE CROSS & BLUE SHIELD

Popular Providers