IRENE NANGE EJELLE-NDILLE FNP
NPI 1962239228
Nurse Practitioner - Family in Powder Springs, GA
Active since September 19, 2024
About Irene Nange Ejelle-ndille Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRENE NANGE EJELLE-NDILLE FNP (NPI 1962239228) is an individual family provider in Powder Springs, Georgia, licensed in Georgia (RN160853) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1962239228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIRENE NANGE EJELLE-NDILLECredential: FNP
Location Address3452 LAUREL KNOLL CTPowder Springs, GA 30127-9212
Mailing Address3452 Laurel Knoll CtPowder Springs, GA 30127-9212 · (404) 246-2396
Phone(404) 246-2396
Sole ProprietorYes
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1962239228 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN160853
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License RN160853 (GA)
3452 LAUREL KNOLL CT, Powder Springs, GA 30127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962239228, enumerated as an "individual" on September 19, 2024.
The provider is located at 3452 LAUREL KNOLL CT POWDER SPRINGS, GA 30127 and the phone number is (404) 246-2396.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
