Provider Demographics
NPI:1588240170
Name:BREWER, RONNA LEANN (CNP)
Entity type:Individual
Prefix:
First Name:RONNA
Middle Name:LEANN
Last Name:BREWER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:RONNA
Other - Middle Name:LEANN
Other - Last Name:LAWHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:980 JOHNSON FERRY RD STE 1040
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1609
Mailing Address - Country:US
Mailing Address - Phone:770-292-3490
Mailing Address - Fax:404-300-2317
Practice Address - Street 1:980 JOHNSON FERRY RD STE 1040
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1609
Practice Address - Country:US
Practice Address - Phone:770-292-3490
Practice Address - Fax:404-300-2317
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-23
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN232018363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care