Individual
TALISHA JENELLE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-5900
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1112578
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1112578
TX
Other
Enumeration date
03/23/2023
Last updated
05/15/2023
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