Provider Demographics
NPI:1467670414
Name:LANE, FELECIA (DNP,FNP-C, MS)
Entity Type:Individual
Prefix:DR
First Name:FELECIA
Middle Name:
Last Name:LANE
Suffix:
Gender:F
Credentials:DNP,FNP-C, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 DONALD LEE HOLLOWELL PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-6657
Mailing Address - Country:US
Mailing Address - Phone:404-616-2265
Mailing Address - Fax:
Practice Address - Street 1:1247 DONALD LEE HOLLOWELL PKWY NW
Practice Address - Street 2:ASA YANCEY HEALTH CENTER OF GRADY HEALTHCARE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6657
Practice Address - Country:US
Practice Address - Phone:404-616-2265
Practice Address - Fax:404-875-5798
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA141537363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner