KELLY ANNE ELLISON

SOUTHLAKE, TX
NPI1265823843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP127337)
Enumeration Date2015-02-18
Last Update Date2023-10-09
Business Address
KELLY ANNE ELLISON
125 DAVIS BLVD
SOUTHLAKE, TX 76092-8209
Phone number: 682-212-9104
Mailing Address
KELLY ANNE ELLISON
125 DAVIS BLVD
SOUTHLAKE, TX 76092-8209
Phone number: 682-212-9104
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