Doctor Name: | MRS. DEBORAH K DENNIS |
NPI Number: | 1346467081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN BC FNP |
License Number: | 2006011203 |
Business Practice Address: | 217 E Willow St Yadkinville, NC - 270550457 |
Business Phone Number: | 3366794203 |
Business Fax Number: | 3366796358 |
Mailing Address: | Po Box 457, YADKINVILLE |
State: | NC |
Postal Code: | 270550457 |
Phone Number: | 3366794203 |
Fax Number: | 3366796358 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 2006011203 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |