Individual
DENNY JAMES HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 DEEP SOUTH FARM RD, BLAIRSVILLE, GA 30512-2298
(770) 345-6600
Mailing address
97 DEEP SOUTH FARM RD, BLAIRSVILLE, GA 30512-2298
(770) 345-6600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN244216
GA
363LF0000X
Family Nurse Practitioner
Primary
NCO-000001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06210691
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
01
—
NCO-000001
GEORGIA BOARD OF NURSING APRN LICENSE
GA
01
—
RN244216
BOARD OF NURSING RN LICENSE
—
Enumeration date
07/21/2021
Last updated
07/21/2021
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