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Individual
TAYLOR ELLYSSA CAIN
Active
Individual
TAYLOR ELLYSSA CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394985101
—
TX
01
—
394985102
CSHCN
TX
01
—
8KQ475
BCBS
TX
Enumeration date
01/29/2019
Last updated
04/23/2019
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