Individual provider · Type 1 NPI

Gracelyn Ambrister Deneus, FNP

Family Nurse Practitioner · Canton, GA

NPI number 1013407139 Active

Practice location

3755 Sixes Rd
Canton, GA 30114-7842

Fax (470) 299-9936

Mailing address

5009 Tiwanaku Dr SW
Atlanta, GA 30331-7999

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN128736 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1013407139

Gracelyn Ambrister Deneus, FNP's National Provider Identifier is 1013407139, issued on May 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, GA. The record was last updated on Mar 16, 2021.