Individual
ERICA MINNION-KLYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087-3306
(470) 444-3134
(470) 276-4370
Mailing address
PO BOX 740015, ATLANTA, GA 30374-0015
(312) 733-9730
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209016926
IL
363LF0000X
Family Nurse Practitioner
355099
NY
363LF0000X
Family Nurse Practitioner
Primary
RN301375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209016926
LICENSE NUMBER
IL
Enumeration date
12/01/2017
Last updated
10/14/2024
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