Individual provider · Type 1 NPI

Kameelah L. Ellis, NP

Nurse Practitioner · Riverdale, GA

NPI number 1306360060 Active

Practice location

33 Upper Riverdale Rd SW Ste 21
Riverdale, GA 30274-2617

Call (404) 314-8868 Map

Mailing address

PO Box 1631
Mcdonough, GA 30253-1631

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	179861 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1306360060

Kameelah L. Ellis, NP's National Provider Identifier is 1306360060, issued on Aug 2, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverdale, GA. The record was last updated on Aug 2, 2017.