Provider Demographics
NPI:1437829751
Name:DENOVA, BRITTNEY LAUREN (NP)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LAUREN
Last Name:DENOVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6829 SCARLET OAK WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-0059
Mailing Address - Country:US
Mailing Address - Phone:229-314-9452
Mailing Address - Fax:
Practice Address - Street 1:5755 N POINT PKWY STE 53
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1145
Practice Address - Country:US
Practice Address - Phone:404-228-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN238714363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty