Individual provider · Type 1 NPI

Calvin Edward Defenbau Iv, NP-C

Family Nurse Practitioner · Gainesville, GA

NPI number 1265927362 Active

Practice location

725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834

Call (678) 207-4373 Map

Fax (770) 533-4727

Mailing address

PO Box 658
Gainesville, GA 30503-0658

Other practice locations

122 Shirley Rd, Americus, GA 31709 · (229) 942-9043

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN-NP209756 (GA)
Registered Nurse	163W00000X	RN209756 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265927362

Calvin Edward Defenbau Iv, NP-C's National Provider Identifier is 1265927362, issued on Jun 30, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gainesville, GA. The record was last updated on Oct 30, 2025.