Provider Demographics
NPI:1245825611
Name:HARVEY STEWART, DEBRA DENISE (NP)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:DENISE
Last Name:HARVEY STEWART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 LANGLEY DR STE E1
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6952
Mailing Address - Country:US
Mailing Address - Phone:470-589-2648
Mailing Address - Fax:470-239-6810
Practice Address - Street 1:175 LANGLEY DR STE 1
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6929
Practice Address - Country:US
Practice Address - Phone:470-589-2648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-07
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN212744363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health