=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437829751
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTNEY LAUREN DENOVA NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2021
-----------------------------------------------------
Last Update Date | 01/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 FREEDOM PKWY
-----------------------------------------------------
City | HOSCHTON
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30548-1995
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-567-4551
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6829 SCARLET OAK WAY
-----------------------------------------------------
City | FLOWERY BRANCH
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30542-0059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-314-9452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | RN238714
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------