- Practice location
- 1775 Parker RD SE, Ste C-240, Conyers, GA 30094-6654
- Phone
- 678-609-6282
- Fax
- 678-609-6283
- Last updated
- December 8, 2014
Kisha Adderley is a Nurse Practitioner, Family based in Conyers, GA. Kisha Adderley practices in Conyers, GA and has the professional credentials of FNP. The NPI Number for Kisha Adderley is 1174921175 and holds a License No. RN185219 (GA). The current practice location address for Kisha Adderley is 1775 Parker RD SE, Ste C-240, Conyers, GA 30094-6654 and can be reached out via phone at 678-609-6282 and via fax at 678-609-6283.
Provider Profile Details
- NPI Number
- 1174921175
- Provider Name
- Kisha Adderley
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1775 Parker RD SE, Ste C-240, Conyers, GA 30094-6654
- Phone Number
- 678-609-6282
- Fax Number
- 678-609-6283
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 8, 2014
- Last Update Date
- December 8, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1775 Parker RD SE
Ste C-240
Conyers, GA 30094-6654 - City
- Conyers
- State
- Georgia
- Zip
- 30094-6654
- Phone Number
- 678-609-6282
- Fax Number
- 678-609-6283
Provider Business Mailing Address Details
- Address
- Po Box 116202
Atlanta, GA 30368-6202 - City
- Atlanta
- State
- GA
- Zip
- 30368-6202
- Phone Number
- 678-609-6282
- Fax Number
- 678-609-6283
License Information
- License Number
- RN185219
- License State
- GA
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Conyers, GA
View all Nurse Practitioner, Family providers in Conyers →Frequently Asked Questions
What is the NPI number of Kisha Adderley, FNP?
The NPI number of Kisha Adderley, FNP is 1174921175. It was assigned on December 8, 2014 and is currently active in the NPPES registry.
What is the specialty of Kisha Adderley, FNP?
Kisha Adderley, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in GA under license number RN185219.
Where does Kisha Adderley, FNP practice?
The practice location is 1775 Parker RD SE, Ste C-240, Conyers, GA 30094-6654. The office can be reached at 678-609-6282 (phone) or 678-609-6283 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174921175 directly on the NPPES registry website.