Individual
MRS. JANE L ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP
Contact information
Practice address
21700 KINGSLAND BLVD, SUITE 202, KATY, TX 77450-2513
(281) 398-8639
(281) 398-5019
Mailing address
1403 STEPENDALE DR, KATY, TX 77450-4923
(281) 578-9296
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
236322
TX
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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