Adams, Kelli Nichole

Adams, Kelli Nichole is an individual health care provider with primary practice located at 2578 Helen Hwy , Cleveland GA 30528-2848. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Adams, Kelli Nichole can be contacted via phone (770) 219-9260.

Contact Information

Primary practice address
2578 Helen Hwy Cleveland GA 30528-2848
Phone: (770) 219-9260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 164623 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN164623 Georgia

Profile Details

NPI number 1104070457
LBN Legal business name Adams, Kelli Nichole
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104070457 NPPES
Georgia MEDICAID 957403077O
Georgia MEDICAID 957403077Q
Georgia Other 05953166
Georgia MEDICAID 957403077P
Georgia MEDICAID 957403077R
Georgia MEDICAID 957403077AE

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