person
Trevor Frederick Ezzell, FNP
Family Nurse Practitioner in Gainesville, Georgia
NPI 1780847699

Trevor Frederick Ezzell is a Family Nurse Practitioner based in Gainesville, GA and is specialized in Family. Trevor Frederick Ezzell practices in Gainesville, GA and has the professional credentials of FNP. The NPI Number for Trevor Frederick Ezzell is 1780847699 and holds a License No. RN152048 (Georgia).

The current practice location address for Trevor Frederick Ezzell is 655 Jesse Jewell Pkwy Se, Gainesville, GA and can be reached out via phone at 770-532-7092 and via fax at 770-536-0383. You can also correspond with Trevor Frederick Ezzell through the mailing address at PO BOX 658, GAINESVILLE, GA - 30503-0658 (mailing address contact number: 770-718-1122).

Location: 655 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
person
Provider Profile Details
NPI Number
1780847699
Provider Name
Trevor Frederick Ezzell
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
655 Jesse Jewell Pkwy Se, Gainesville, GA, 30503-0658
Phone Number
770-532-7092
Fax Number
770-536-0383
Provider Enumeration Date
07/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
462656 01 GA WELLCARE
01228809 01 GA AMERIGROUP
129681407A 05 GA
P00903614 01 GA MEDICARE RAILROAD
129681407B 05 GA
129681407C 05 GA
institution
Provider Business Practice Location Address Details
Address
655 Jesse Jewell Pkwy Se
City
State
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider Business Mailing Address Details
Address
655 Jesse Jewell Pkwy Se
City
State
Zip
30501-3854
Phone Number
770-532-7092
Fax Number
770-536-0383
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN152048 (Georgia)
Definition
Definition to come...
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