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NPI Code Detail

MEDICARE: TAMMY JANE DENNY-SMITH PMHNP

MEDICARE: TAMMY JANE DENNY-SMITH PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN-NP116008GA
2163W00000XRegistered NurseRN116008GA

General Provider Information

NPI Number : 1780619049
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY JANE DENNY-SMITH PMHNP
Provider Business Mailing Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number : 770-886-0404
Provider Business Practice Location Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number : 770-886-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 10/23/2025

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