Individual provider · Type 1 NPI
Ellisa A. Mathis, FNP'C
Family Nurse Practitioner · Waycross, GA
NPI number
1801903596
Active
Practice location
409 Uvalda St
Waycross, GA 31501-4574
Fax (912) 283-1362
Mailing address
800 Beacon St
Waycross, GA 31501-7104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN068928 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Waycross
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- Dana Marie Morgan, FNP-BC, PMHNP-BCFamily Nurse Practitioner Waycross, GA NPI 1043761331
- Kayla Casey Aldridge, FNP-CFamily Nurse Practitioner Waycross, GA NPI 1063352052
- Dawn Lynn Driggers, FNPFamily Nurse Practitioner Waycross, GA NPI 1063904217
- Anthony Aaron BrysonFamily Nurse Practitioner Waycross, GA NPI 1073451126
- Kala Hodges, FNP-CFamily Nurse Practitioner Waycross, GA NPI 1093595761
- Andrea M. Deloach, FNP-CFamily Nurse Practitioner Waycross, GA NPI 1114007044
About NPI 1801903596
Ellisa A. Mathis, FNP'C's National Provider Identifier is 1801903596, issued on Aug 25, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waycross, GA. The record was last updated on Oct 30, 2009.