Individual
KALEISE TENNILLE
Active
Individual
KALEISE TENNILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN207468
GA
363LF0000X
Family Nurse Practitioner
Primary
207468
GA
363LF0000X
Family Nurse Practitioner
Primary
RN207468
GA
Other
Enumeration date
12/13/2019
Last updated
09/02/2026
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