Individual provider · NPI-1

Erin Ellison

Nurse Practitioner · Bremen, GA

NPI number1669710786
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1669710786
Entity type
Individual (NPI-1)
Name
Erin Ellison
Sex
Female
Sole proprietor
No
Enumeration date
Jan 24, 2013
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN198477GAYes
363LF0000X Nurse Practitioner, FamilyRN198477GA

Practice location

222 Gordon St
Bremen, GA 30110-1519

Phone 770-537-1234

Mailing address

631 Grady Whitton Rd
Bremen, GA 30110-3573

Phone 404-697-9529

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