| Jesica Lyn Ellison, FNP-C | |
| 2335 Limestone Overlook, Gainesville, GA 30501-7443 | |
| (770) 297-0356 | |
| (770) 297-7564 | 
| Full Name | Jesica Lyn Ellison | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2335 Limestone Overlook, Gainesville, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194242636 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN232412 (Georgia) | Primary | 
| Entity Name | Lanier Interventional Pain Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528041803 PECOS PAC ID: 9436129962 Enrollment ID: O20040730000363 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jesica Lyn Ellison, FNP-C 2335 Limestone Overlook, Gainesville, GA 30501-7443 Ph: (770) 297-0356 | Jesica Lyn Ellison, FNP-C 2335 Limestone Overlook, Gainesville, GA 30501-7443 Ph: (770) 297-0356 | 
| Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599 | |
| Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
| Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
| Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
| Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 | |
| Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
| Molly Bruce, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 |