Individual
MICHELLE KELLY ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-111870
AL
363L00000X
Nurse Practitioner
Primary
RN162446
GA
Other
Enumeration date
07/24/2013
Last updated
11/20/2020
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