Individual
DEBORAH K BEYENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2594 LOGANVILLE HWY STE 101, GRAYSON, GA 30017-7848
(678) 369-2790
Mailing address
1665 HATTERAS TRL, GRAYSON, GA 30017-2916
(733) 319-5952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2021106395
IL
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP315041
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021106395
—
IL
Enumeration date
02/14/2022
Last updated
10/29/2025
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