Provider Demographics
NPI:1386438562
Name:STILL, FREDA VONZELLE (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:FREDA
Middle Name:VONZELLE
Last Name:STILL
Suffix:
Gender:
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 BRADSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-8512
Mailing Address - Country:US
Mailing Address - Phone:678-524-6742
Mailing Address - Fax:
Practice Address - Street 1:3022 BRADSHIRE CT
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-8512
Practice Address - Country:US
Practice Address - Phone:678-524-6742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN151338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health