Individual
KELLI NICHOLE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2578 HELEN HWY, CLEVELAND, GA 30528-2848
(770) 219-9260
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
164623
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN164623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05953166
AMERIGROUP
GA
05
—
957403077AE
—
GA
05
—
957403077O
—
GA
05
—
957403077P
—
GA
05
—
957403077Q
—
GA
05
—
957403077R
—
GA
Enumeration date
11/13/2008
Last updated
04/08/2025
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