Marissa Lynette Commodore is a Stone Mountain, Georgia based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Marissa Lynette Commodore is RN264280 for Anesthesia Administration in Georgia. Her current practice location is 5357 Windfern Ct, Stone Mountain. Patients can reach her at 770-875-3080. Marissa Lynette Commodore is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1881264356.
Marissa Lynette Commodore is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Marissa Lynette Commodore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Nurse Anesthetist |
| Credentials: | CRNA |
| Gender: | Female |
| Practice Address: | 5357 Windfern Ct, Stone Mountain,
Georgia, 30088-3329 |
| Phone: | 770-875-3080 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1881264356 |
| NPI Enumeration Date: | 28 Jun, 2021 |
| NPI Last Update On: | 23 May, 2024 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marissa Lynette Commodore are as mentioned below.
| License Number | Specialization | State | Status | |
| RN264280 | Anesthesia Administration | Georgia | Primary | |
| RN264280 | Anesthesiology | Georgia | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5357 Windfern Ct,
Stone Mountain, Georgia |
| Zip: | 30088-3329 |
| Phone Number: | 770-875-3080 |
| Fax Number: | -- |
Patients can reach Marissa Lynette Commodore at
5357 Windfern Ct, Stone Mountain, Georgia or can
call to book an appointment on 770-875-3080.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.