Provider Demographics
NPI:1235411356
Name:BUTLER, DIONNE MELAINE (CPNP)
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:MELAINE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 HIGHWAY 211 NW STE 100
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-3513
Mailing Address - Country:US
Mailing Address - Phone:678-820-7979
Mailing Address - Fax:678-820-7980
Practice Address - Street 1:1897 HIGHWAY 211 NW STE 100
Practice Address - Street 2:
Practice Address - City:HOSCHTON
Practice Address - State:GA
Practice Address - Zip Code:30548-3513
Practice Address - Country:US
Practice Address - Phone:678-820-7979
Practice Address - Fax:678-820-7980
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN 106383NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics