Mrs Kyndra Lenee Ellis, RN, NNP | |
443 Gresham Dr, Stockbridge, GA 30281-7716 | |
(678) 756-1465 | |
(678) 756-1465 |
Full Name | Mrs Kyndra Lenee Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 443 Gresham Dr, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043477078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 154735 (Georgia) | Secondary |
363LN0000X | Nurse Practitioner - Neonatal | RN154735 (Georgia) | Primary |
Entity Name | Floyd Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992814586 PECOS PAC ID: 6406852375 Enrollment ID: O20061017000279 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kyndra Lenee Ellis, RN, NNP 443 Gresham Dr, Stockbridge, GA 30281-7716 Ph: (678) 756-1465 | Mrs Kyndra Lenee Ellis, RN, NNP 443 Gresham Dr, Stockbridge, GA 30281-7716 Ph: (678) 756-1465 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 | |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 | |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 | |
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925 | |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 | |
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213 | |
Tricia Jarrell Morris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 547 Winter View Way, Stockbridge, GA 30281 Phone: 678-272-0086 Fax: 678-489-6860 |