Individual
DEIRDRE W ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
2918 E WALNUT AVE, DALTON, GA 30721-8724
(706) 529-4600
(706) 529-4633
Mailing address
2918 E WALNUT AVE, DALTON, GA 30721-8724
(706) 529-4600
(706) 529-4633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN077047
GA
Other
Enumeration date
07/24/2007
Last updated
08/29/2023
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