Provider Demographics
NPI:1477076388
Name:DENNY, MARSHA THORN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:THORN
Last Name:DENNY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 EMPIRE TRL
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2805
Mailing Address - Country:US
Mailing Address - Phone:478-957-8512
Mailing Address - Fax:
Practice Address - Street 1:556 3RD ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7934
Practice Address - Country:US
Practice Address - Phone:478-216-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-23
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF07170322363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology