person
Mrs. Gracelyn Ambrister Deneus, FNP
Family Nurse Practitioner in Canton, Georgia
NPI 1013407139

Gracelyn Ambrister Deneus is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Gracelyn Ambrister Deneus practices in Canton, GA and has the professional credentials of FNP. The NPI Number for Gracelyn Ambrister Deneus is 1013407139 and holds a License No. RN128736 (Georgia).

The current practice location address for Gracelyn Ambrister Deneus is 3755 Sixes Rd, Canton, GA and can be reached out via phone at 404-395-0890 and via fax at 470-299-9936.

Location: 3755 Sixes Rd, Canton, GA, 30331-7999
person
Provider Profile Details
NPI Number
1013407139
Provider Name
Gracelyn Ambrister Deneus
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3755 Sixes Rd, Canton, GA, 30331-7999
Phone Number
404-395-0890
Fax Number
470-299-9936
Provider Enumeration Date
05/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
049164407 01 GA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
3755 Sixes Rd
City
State
Zip
30114-7842
Phone Number
404-395-0890
Fax Number
470-299-9936
person
Provider Business Mailing Address Details
Address
3755 Sixes Rd
City
State
Zip
30114-7842
Phone Number
404-395-0890
Fax Number
470-299-9936
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN128736 (Georgia)
Definition
Definition to come...
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