Individual
AMANDA ELLISOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1602 E HOUSTON ST STE C, BEEVILLE, TX 78102-5335
(361) 354-2900
Mailing address
1602 E HOUSTON ST STE C, BEEVILLE, TX 78102-5335
(361) 354-2900
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
858478
TX
363LF0000X
Family Nurse Practitioner
Primary
1153063
TX
Other
Enumeration date
11/14/2023
Last updated
05/21/2025
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