Individual provider · Type 1 NPI

Kisha Adderley, FNP

Family Nurse Practitioner · Conyers, GA

NPI number 1174921175 Active

Practice location

1775 Parker Rd SE, Ste C-240
Conyers, GA 30094-6654

Fax (678) 609-6283

Mailing address

PO Box 116202
Atlanta, GA 30368-6202

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN185219 (GA)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1174921175

Kisha Adderley, FNP's National Provider Identifier is 1174921175, issued on Dec 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Conyers, GA. The record was last updated on Dec 8, 2014.