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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELANIE JANE ELLIS, PA

Active

MRS. MELANIE JANE ELLIS, PA is a Medical Physician Assistant healthcare provider located in JBSA-RANDOLPH, Texas. NPI 1043395874 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · JBSA-RANDOLPH, TX

Registration Details

NPI Number
1043395874
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2006 (19.617553780384 yrs)
Last Updated
May 1, 2018
License
PA10003433 (WA)

Practice Information

Address
359 MEDICAL GROUP
221 THRID STREET WEST, BLDG 1040
JBSA-RANDOLPH, TX, 78150
Browse TX providers · Browse ZIP 78150
Phone
2106528544
Primary Specialty
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.