IndividualActive
Kyndra Ellis, RN, NNP
NPI 1043477078 · Neonatal Nurse Practitioner · Stockbridge, GA
Provider details
- NPI number
- 1043477078
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, NNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 154735 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
443 Gresham Dr
Stockbridge, GA 30281-7716
Phone: (678) 756-1465
Fax: (678) 756-1465
Approximate (ZIP-level) locationGet directions
Mailing address
443 Gresham Dr
Stockbridge, GA 30281-7716
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2016-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.