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ELISA ACEVEDO FNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1053926923

Individual Registrant:
 ELISA  ACEVEDO FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
5836 BUFORD HWY STE C  NORCROSS, GA 30071-2581 US
Tel: 770-734-9920  Fax: --

Contact information for business:
7310 DRUID HILLS RESERVE DR NE  ATLANTA, GA 30329-2061 US
Tel: 229-457-3639  Fax: --

Registration Information:
NPI: 1053926923
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN254581

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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