Individual
KAYLA ALICIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
939 LUKE ST, SNELLVILLE, GA 30039-5775
(770) 369-0103
Mailing address
939 LUKE ST, SNELLVILLE, GA 30039-5775
(770) 369-0103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN324241
GA
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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