Provider Demographics
NPI:1609077908
Name:RHODES, DEBORAH TYMES (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:TYMES
Last Name:RHODES
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:TYMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:PO BOX 1636
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-1636
Mailing Address - Country:US
Mailing Address - Phone:229-410-9174
Mailing Address - Fax:
Practice Address - Street 1:169 PACKING HOUSE RD
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-7932
Practice Address - Country:US
Practice Address - Phone:229-410-9174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA125194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily