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Dr. Stacie Vanessa Ellis, RDN, LD

Dietitian, Registered in Cedar Hill, TX. Individual provider (NPI-1).

NPI number1275917882
StatusActive
Last updated in NPPESNov 30, 2023

Details

NPI
1275917882
Entity type
Individual (NPI-1)
Name
Dr. Stacie Vanessa Ellis
Credential
RDN, LD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 13, 2015
Certification date
Nov 30, 2023
Last updated
Nov 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredDT83743TXYes
133N00000X NutritionistDT83743TX

Other names

  • Stacie Vanessa Jones (Former Name)

Practice location

1200 Sullivan Dr
Cedar Hill, TX 75104-7340

Phone 254-449-3952

Mailing address

1200 Sullivan Dr
Cedar Hill, TX 75104-7340

Phone 254-449-3952

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Other Registered Dietitian providers in Cedar Hill, TX

All 7 Registered Dietitian providers in Cedar Hill · All 940 providers in Cedar Hill

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