JULIE K ELLERS


Address: 1164 Dunwick Dr, Avondale Estates, GA 30002-1533
Phone: 4047020363

JULIE K ELLERS (NPI# 1528609757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528609757
Entity Type Individual
Full Name JULIE K ELLERS
Credential FNP-C
Practice Address 1164 Dunwick Dr
Avondale Estates
GA 30002-1533
Practice Telephone 4047020363
Mailing Telephone 4047020363
Enumeration Date 2019-09-29
Last Update Date 2019-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
RN145700 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
145700 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1164 DUNWICK DR
City AVONDALE ESTATES
State GA
Zip Code 30002-1533

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1528310455 Katherine Alberta Brown Social Worker 151 Locust St, Avondale Estates, GA 30002 2012-10-02
1194009811 Anne Rice Counselor 151 Locust St, Avondale Estates, GA 30002 2011-09-29
1033499884 Lauren Shemain Social Worker 151 Locust St, Avondale Estates, GA 30002-1050 2011-08-25
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1508492893 Charles Joseph Westbrook Counselor 151 Locust St, Avondale Estates, GA 30002-1050 2020-03-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1356958060 Earl Delk Nurse Practitioner 3365 Ridgerock Way, Snellville, GA 30078-4176 2020-09-26
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1457963746 Evelyn Ahiante Dennis Nurse Practitioner 3325 Emden Ct, Snellville, GA 30039-6047 2020-08-19
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Competitor

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City AVONDALE ESTATES
Zip Code 30002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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