Provider Demographics
NPI:1851867568
Name:LOVETT, DARNAE MICHELLE (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:DARNAE
Middle Name:MICHELLE
Last Name:LOVETT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ROYAL PALM CIR
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-9040
Mailing Address - Country:US
Mailing Address - Phone:912-228-1186
Mailing Address - Fax:
Practice Address - Street 1:107 CANAL ST
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4016
Practice Address - Country:US
Practice Address - Phone:912-450-1945
Practice Address - Fax:912-450-1949
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-19
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN241135363L00000X, 363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPENDINGMedicaid