Individual provider · Type 1 NPI

Sherenda Lashawn Ellis

Phlebotomy Technician · Conyers, GA

NPI number 1821603606 Active

Practice location

1058 Wedgewood Ct
Conyers, GA 30012-7120

Mailing address

4351 Hugh Howell Rd Ste 1179
Tucker, GA 30084-4721

Specialties and licenses

TaxonomyCodeLicense
Home Modifications Contractor 171WH0202XNone listed
Home Infusion Agency 251F00000XNone listed
Contractor 171W00000XNone listed
Vehicle Modifications Contractor 171WV0202XNone listed
Phlebotomy Technician Primary 246RP1900X9Y6C9J8J7 (GA)

Phlebotomy Technician: Definition to come...

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About NPI 1821603606

Sherenda Lashawn Ellis's National Provider Identifier is 1821603606, issued on Sep 9, 2020. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Conyers, GA. The record was last updated on Apr 24, 2026.