Provider Demographics
NPI:1487014031
Name:PRIESMEYER, DEBRA KAREN (RN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAREN
Last Name:PRIESMEYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 COUNTRYSIDE PL SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-8254
Mailing Address - Country:US
Mailing Address - Phone:678-749-3535
Mailing Address - Fax:
Practice Address - Street 1:3655 CANTON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2690
Practice Address - Country:US
Practice Address - Phone:770-726-1162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188278163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health