Provider Demographics
NPI:1407412968
Name:TOWNLEY, NEONIA LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:NEONIA
Middle Name:LYNN
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:NEONIA
Other - Middle Name:LYNN
Other - Last Name:PURVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6106 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-5437
Mailing Address - Country:US
Mailing Address - Phone:770-722-8244
Mailing Address - Fax:
Practice Address - Street 1:186 CANNON BRIDGE RD UNIT B
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-4710
Practice Address - Country:US
Practice Address - Phone:706-778-0077
Practice Address - Fax:706-778-0565
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN117733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily