Mrs. Kelsey Irene Fortier
Nurse Practitioner - Family Medicine
1605 Mulkey Rd Suite 220
Austell
, Georgia 30106-1127
Mrs. Kelsey Irene Fortier
Nurse Practitioner - Family Medicine
1605 Mulkey Rd Suite 220
Austell
, Georgia 30106-1127
(760) 214-4060
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Kelsey Irene Fortier
- 3149 Dunn St Se
- Smyrna, GA
- Zip : 30080-4413
- Phone : (760) 214-4060
Second Address
- Mrs. Kelsey Irene Fortier
- 1605 Mulkey Rd Suite 220
- Austell, GA
- Zip : 30106-1127
- Phone : (470) 956-3760
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN211782 | GA |
National Provider Identifier
| NPI | 1003355249 |
|---|---|
| Provider Name | Mrs. Kelsey Irene Fortier |
| First Address | Smyrna, GA 30080-4413 |
| Second Address | Austell, GA 30106-1127 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2017 |
| Last Update Date | 21/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.