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ISTMENIA ELLIS
NPI 1669177465
Nurse Practitioner - Family in Stafford, TX

Active since April 03, 2023
12310 MEADOW RIDGE DR, STAFFORD, TX 77477(832) 483-4781 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Istmenia Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISTMENIA ELLIS (NPI 1669177465) is an individual family provider in Stafford, Texas, licensed in Texas (1096900) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1669177465
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameISTMENIA ELLIS
Location Address12310 MEADOW RIDGE DRStafford, TX 77477-2249
Mailing Address12310 Meadow Ridge DrStafford, TX 77477-2249 · (832) 483-4781
Phone(832) 483-4781
Sole ProprietorYes
Enumeration DateApril 3, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1669177465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1096900
12310 MEADOW RIDGE DR, Stafford, TX 77477
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Istmenia Ellis's NPI number?

The NPI number for Istmenia Ellis is 1669177465. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Istmenia Ellis located?

Istmenia Ellis practices at 12310 Meadow Ridge Dr, Stafford, TX 77477. The listed phone number is (832) 483-4781.

What is Istmenia Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Istmenia Ellis was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.