Individual
TEYLOR N ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5718 CRAWFORDSVILLE RD, INDIANAPOLIS, IN 46224-3704
(317) 240-5001
Mailing address
401 N SENATE AVE UNIT 419, INDIANAPOLIS, IN 46204-1286
(317) 752-8191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99114632A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/01/2022
Last updated
10/18/2022
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