Individual
KIMBERLY ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1601 TRINITY ST STE 704F, AUSTIN, TX 78712-1765
(512) 324-7873
(512) 380-7503
Mailing address
1601 TRINITY ST STE 704F, AUSTIN, TX 78712-1765
(512) 324-7873
(512) 380-7503
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130569
TX
Other
Enumeration date
04/04/2016
Last updated
01/28/2021
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