Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kyndra Lenee Ellis, RN, NNP

Individual provider Registered Nurse · NPI 1043477078

Mrs. Kyndra Lenee Ellis, RN, NNP is a Registered Nurse in Stockbridge, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

443 Gresham Dr
Stockbridge, GA 30281-7716
Phone: (678) 756-1465
Fax: (678) 756-1465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence RN154735 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 154735 (GA)

Record details

NPI number1043477078
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , NNP
Sole proprietorYes
NPI enumeratedMay 19, 2008
Last updated in NPPESOctober 31, 2016

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