Provider Demographics
NPI:1497136576
Name:ATKINS, DENISE (NP)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:ATKINS
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 1:1538 13TH AVE
Mailing Address - Street 2:STE B 300
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1956
Mailing Address - Country:US
Mailing Address - Phone:706-321-9300
Mailing Address - Fax:706-321-9384
Practice Address - Street 1:1538 13TH AVE
Practice Address - Street 2:STE B 300
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1956
Practice Address - Country:US
Practice Address - Phone:706-321-9300
Practice Address - Fax:706-321-9384
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN202095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily