Provider Demographics
NPI:1427580216
Name:HOLTON, DEANNA LEE (FNP)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LEE
Last Name:HOLTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:LEE
Other - Last Name:GILMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:100 PLANTATION RIDGE DR APT D
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5282
Mailing Address - Country:US
Mailing Address - Phone:229-474-6933
Mailing Address - Fax:888-815-1851
Practice Address - Street 1:100 PLANTATION RIDGE DR APT D
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5282
Practice Address - Country:US
Practice Address - Phone:229-474-6933
Practice Address - Fax:888-815-1851
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily