Edwards, Felicia Deloris
Edwards, Felicia Deloris is an individual health care provider with primary practice located at 1265 Highway 54 W Ste 305 , Fayetteville GA 30214-4537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edwards, Felicia Deloris can be contacted via phone (678) 732-1500.Contact Information
Primary practice address
1265 Highway 54 W Ste 305
Fayetteville GA 30214-4537
Phone: (678) 732-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R740067 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN259622 | Georgia |
Profile Details
| NPI number | 1316040264 |
|---|---|
| LBN Legal business name | Edwards, Felicia Deloris |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316040264 | NPPES |
| Mississippi | MEDICAID | 03825275 |
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