Individual
MRS. STEPHANIE NICOLE HART ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1365 CLIFTON RD NE, TEC A4330, ATLANTA, GA 30322-1013
(404) 778-6382
(404) 778-5495
Mailing address
1365 CLIFTON RD NE, TEC A4330, ATLANTA, GA 30322-1013
(404) 778-6382
(404) 778-5495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN156526
GA
Other
Enumeration date
12/14/2012
Last updated
12/17/2025
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