Elissa Gloria Fontenot, NP

NPI #1386229839 in Lithonia, Georgia

Provider Information

NPI Number
1386229839
Entity Type
Individual
Name
Elissa Gloria Fontenot, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Mar 16, 2021
Last Updated
Mar 16, 2021

Practice Location

Address
2801 DEKALB MEDICAL PKWY
State
Georgia
ZIP Code
30058-4996
Phone
(404) 501-8000

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice
Nurse Practitioner

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