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:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 355099 New York
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 Oct 14th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205340080 NPPES
Illinois Other 209016926 LICENSE NUMBER

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