Ellis, Kylie Alyssa

Ellis, Kylie Alyssa is an sole proprietor health care provider with primary practice located at 795 Poplar Rd Ste 400 , Newnan GA 30265-2590. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Ellis, Kylie Alyssa can be contacted via phone (770) 716-0051.

Contact Information

Primary practice address
795 Poplar Rd Ste 400 Newnan GA 30265-2590
Phone: (770) 716-0051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN239284 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN239284 Georgia

Profile Details

NPI number 1457984361
LBN Legal business name Ellis, Kylie Alyssa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2020
Last updated Oct 20th, 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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