Whalio Doctors

NPI 1043477078

Kyndra Lenee Ellis, RNNNP

Practitioner Neonatal Nurse Practitioner Stockbridge, GA

Practice location

Address
443 Gresham Dr, Stockbridge, GA 30281-7716
Phone
(678) 756-1465
Fax
(678) 756-1465

Registered specialties (2)

Neonatal Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0000X Licence RN154735 (GA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 154735 (GA)

Registry record

NPI
1043477078
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 May 2008
Record last updated
31 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.