Individual
MRS. KIMBERLY FRANCES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5605 N MACARTHUR BLVD FL 10, IRVING, TX 75038-2617
(972) 460-0910
Mailing address
707 CAROLYN T HUNT DR, CEDAR HILL, TX 75104-7347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
210390
OK
363L00000X
Nurse Practitioner
Primary
AP121757
TX
363LF0000X
Family Nurse Practitioner
A121757
TX
Other
Enumeration date
04/19/2012
Last updated
08/04/2025
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