Provider Demographics
NPI:1851159834
Name:STINNETT, DANIELLE CELESTE (RN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CELESTE
Last Name:STINNETT
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 1:1290 LIBERTY PARK DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-2156
Mailing Address - Country:US
Mailing Address - Phone:770-307-8017
Mailing Address - Fax:
Practice Address - Street 1:1290 LIBERTY PARK DR
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-2156
Practice Address - Country:US
Practice Address - Phone:770-307-8017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN267948163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health