Ellison, Jennifer Natasha Rose
Ellison, Jennifer Natasha Rose is an sole proprietor health care provider with primary practice located at 377 W Campbell Rd Ste 100 , Richardson TX 75080-3695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellison, Jennifer Natasha Rose can be contacted via phone (469) 232-2945.Contact Information
Primary practice address
377 W Campbell Rd Ste 100
Richardson TX 75080-3695
Phone: (469) 232-2945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F336423-1 | New York |
Profile Details
| NPI number | 1356651954 |
|---|---|
| LBN Legal business name | Ellison, Jennifer Natasha Rose |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2010 |
| Last updated | Jun 3rd, 2019 - about 6 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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