Individual
IRENE NANGE EJELLE-NDILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3452 LAUREL KNOLL CT, POWDER SPRINGS, GA 30127-9212
(404) 246-2396
Mailing address
3452 LAUREL KNOLL CT, POWDER SPRINGS, GA 30127-9212
(404) 246-2396
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN160853
GA
363LF0000X
Family Nurse Practitioner
Primary
RN160853
GA
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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