Minnion-Klyce, Erica
Minnion-Klyce, Erica is an individual health care provider with primary practice located at 1825 Rockbridge Rd Ste 15B , Stone Mountain GA 30087-3306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Minnion-Klyce, Erica can be contacted via phone (470) 444-3134.Contact Information
Primary practice address
1825 Rockbridge Rd Ste 15B
Stone Mountain GA 30087-3306
Phone: (470) 444-3134
Fax: (470) 276-4370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209016926 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN301375 | Georgia |
Profile Details
| NPI number | 1205340080 |
|---|---|
| LBN Legal business name | Minnion-Klyce, Erica |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2017 |
| Last updated | Feb 2nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205340080 | NPPES |
| Illinois | Other | 209016926 | LICENSE NUMBER |
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