MRS. GLADYS JANE ELLIS FNP-BC/ARNP NPI 1679743744

NPI Information

MRS. Gladys Jane Ellis, FNP-BC/ARNP is a family nurse practitioner in Fort Pierce, FL with 17 years of experience. MRS. Gladys Jane Ellis, FNP-BC/ARNP NPI is 1679743744. 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:

2215 NEBRASKA AVE STE 3-A
FORT PIERCE, FL
ZIP 34950-867
Phone: (772) 489-6011
Fax: (772) 489-6086

The NPI 1679743744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 1/19/2010.

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:

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