Provider Demographics
NPI:1760516835
Name:BRANNON, ELISSA DARLENE (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ELISSA
Middle Name:DARLENE
Last Name:BRANNON
Suffix:
Gender:F
Credentials:MSN, FNP-C
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Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:
Practice Address - Street 1:1150 POWDER SPRINGS STREET, SUITE 50
Practice Address - Street 2:KAISER PERMANENTE AT COBB COUNTY EMPLOYEE CLINIC
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064
Practice Address - Country:US
Practice Address - Phone:404-255-2918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2014-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN092114 GA363LA2200X
GARN092114363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health