Individual
LINDA JAYE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
613 SO. MYRTLE AVENUE, CLEARWATER, FL 33756
(727) 447-6458
(727) 461-5211
Mailing address
613 SO. MYRTLE AVENUE, CLEARWATER, FL 33756
(727) 447-6458
(727) 461-5211
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1514462
FL
Other
Enumeration date
02/08/2010
Last updated
03/22/2017
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