Healthcare Provider Details

I. General information

NPI: 1275446767
Provider Name (Legal Business Name): DENISE JOSEPHS DNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2795 MAIN ST W STE 20A
SNELLVILLE GA
30078-3072
US

IV. Provider business mailing address

60 BLACK ROCK CT
OXFORD GA
30054-2646
US

V. Phone/Fax

Practice location:
  • Phone: 470-322-8932
  • Fax:
Mailing address:
  • Phone: 646-468-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN203943
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN203943
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN203943
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN203943
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN203943
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: