Individual provider · Type 1 NPI

Trevor Frederick Ezzell, FNP

Family Nurse Practitioner · Gainesville, GA

NPI number 1780847699 Active

Practice location

655 Jesse Jewell Pkwy SE, Ste B
Gainesville, GA 30501-3854

Call (770) 532-7092 Map

Fax (770) 536-0383

Mailing address

PO Box 658
Gainesville, GA 30503-0658

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN152048 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1780847699

Trevor Frederick Ezzell, FNP's National Provider Identifier is 1780847699, issued on Jul 10, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Feb 20, 2012.