Individual
MS. CONNIE NELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
909 MORRISON DR, MESQUITE, TX 75150-6079
(214) 398-4157
(214) 398-4326
Mailing address
7600 S LOOP 12 # 202B, DALLAS, TX 75217-6607
(214) 398-4157
(214) 398-4326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
528675
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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