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Elissa Gloria Fontenot, NP
Nurse Practitioner in Lithonia, Georgia
NPI 1386229839

Elissa Gloria Fontenot is a Nurse Practitioner based in Covington, GA. Elissa Gloria Fontenot practices in Lithonia, GA and has the professional credentials of NP. The NPI Number for Elissa Gloria Fontenot is 1386229839 and holds a License No. RN241909 (Georgia).

The current practice location address for Elissa Gloria Fontenot is 2801 Dekalb Medical Pkwy, Lithonia, GA and can be reached out via phone at 404-501-8000. You can also correspond with Elissa Gloria Fontenot through the mailing address at 105 PRINCETON CT, COVINGTON, GA - 30016-2953 (mailing address contact number: 678-793-3123).

Location: 2801 Dekalb Medical Pkwy, Lithonia, GA, 30016-2953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386229839
Provider Name
Elissa Gloria Fontenot
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2801 Dekalb Medical Pkwy, Lithonia, GA, 30016-2953
Phone Number
404-501-8000
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2801 Dekalb Medical Pkwy
City
Lithonia
State
Georgia
Zip
30058-4996
Phone Number
404-501-8000
Fax Number
person
Provider Business Mailing Address Details
Address
2801 Dekalb Medical Pkwy
City
Lithonia
State
Georgia
Zip
30058-4996
Phone Number
404-501-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
NCO-000003 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN241909 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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