MS. PHYLLIS JEAN ELLENA ADVANCED PRACTICE RN NPI 1740450642

NPI Information

NPI: 1740450642
Provider Name: MS. PHYLLIS JEAN ELLENA, ADVANCED PRACTICE RN
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
4026 PARKWAY DR
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 219-5135
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MS. Phyllis Jean Ellena, ADVANCED PRACTICE RN is a psychiatric/mental health and adult clinical nurse specialist in San Antonio, TX. MS. Phyllis Jean Ellena, ADVANCED PRACTICE RN NPI is 1740450642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4026 PARKWAY DR
SAN ANTONIO, TX
ZIP 78228-311
Phone: (210) 219-5135
Fax: (210) 434-7039

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	439625	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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