Healthcare Provider Details

I. General information

NPI: 1568392868
Provider Name (Legal Business Name): DOONYA MEREBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MORTON MILL CT
JOHNS CREEK GA
30022-7435
US

IV. Provider business mailing address

515 MORTON MILL CT
JOHNS CREEK GA
30022-7435
US

V. Phone/Fax

Practice location:
  • Phone: 770-670-9359
  • Fax:
Mailing address:
  • Phone: 770-670-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-NP315009
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: