Search › Georgia › 363LF0000X
Latrese Ellis, NP
NPI 1861810749 · on the registry since 2014
Practice
- Address
- 3800 Princeton Lakes Pkwy Sw
Atlanta, GA 30331 - Phone
- (404) 948-3019
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Additional practice sites
- 5764 Peachtree Industrial Blvd # 4505, Chamblee, GA
- 4857 Zone Ave Sw, Atlanta, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia