| Doctor Name: | MS. STEPHANIE RENEE DENMARK |
| NPI Number: | 1184006462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | RN160261 |
| Business Practice Address: | 501 E Long St Claxton, GA - 304171435 |
| Business Phone Number: | 9127398001 |
| Business Fax Number: | 9127398738 |
| Mailing Address: | Po Box 518, CLAXTON |
| State: | GA |
| Postal Code: | 304170518 |
| Phone Number: | 9127395000 |
| Fax Number: | 9127395041 |
| NPI Enumeration Date: | 06/23/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN160261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |