Individual
ALLYSON JEANNE ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 240W, DALLAS, TX 75247-4964
(214) 456-7700
(214) 867-5389
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1171109
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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