Individual provider · Type 1 NPI

Taheisha Rena Deese, NP

Nurse Practitioner · Fayetteville, GA

NPI number 1205516754 Active

Practice location

1265 Highway 54 W Ste 305
Fayetteville, GA 30214-4537

Call (770) 719-5660 Map

Mailing address

155 Buckeye Ln
Fayetteville, GA 30214-1702

Other practice locations

155 Buckeye Ln, Fayetteville, GA 30214-1702 · (229) 425-8130
155 Buckeye Ln, Fayetteville, GA 30214-1702 · (229) 425-8130

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	RN165350 (GA)
Nurse Practitioner Primary	363L00000X	RN165350 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

Other nurse practitioner providers in Fayetteville

See all in Fayetteville →

About NPI 1205516754

Taheisha Rena Deese, NP's National Provider Identifier is 1205516754, issued on Jul 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fayetteville, GA. The record was last updated on Feb 17, 2025.