Individual
STEPHANI MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
3108 MIDWAY RD STE 104, PLANO, TX 75093-8485
(972) 398-0393
(972) 398-0499
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1005230
TX
363LG0600X
Gerontology Nurse Practitioner
1005230
TX
363LP2300X
Primary Care Nurse Practitioner
1005230
TX
Other
Enumeration date
08/23/2020
Last updated
03/26/2025
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