Individual provider · Type 1 NPI
Patricia Proveaux, FNP-BC
Family Nurse Practitioner · Roswell, GA
NPI number
1053062760
Active
Practice location
1360 Upper Hembree Rd Ste 201
Roswell, GA 30076-1230
Fax (770) 664-4431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN254746 (GA) |
| Registered Nurse | 163W00000X | RN254746 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053062760
Patricia Proveaux, FNP-BC's National Provider Identifier is 1053062760, issued on Jan 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roswell, GA. The record was last updated on Jan 6, 2026.