Individual
ELLEN B JATINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6836 BEE CAVES RD, BLDG. 3 STE. 150, AUSTIN, TX 78746-5059
(512) 375-2555
(512) 485-1053
Mailing address
6836 BEE CAVES RD, BLDG. 3 STE. 150, AUSTIN, TX 78746-5059
(512) 375-2555
(512) 485-1053
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP110073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158616601
—
TX
05
—
158616603
—
TX
05
—
158616604
—
TX
05
—
158616606
—
TX
Enumeration date
07/29/2006
Last updated
10/14/2016
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