Kisha Adderley, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Conyers, GA
- NPI
- 1174921175
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- RN185219 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2014-12-08
- Last updated
- 2014-12-08
Practice location
1775 Parker Rd Se, Ste C-240
Conyers, GA 30094-6654
(678) 609-6282