Provider Demographics
NPI:1912161381
Name:DENNIS-CROOKS, HYACINTH (NP)
Entity type:Individual
Prefix:
First Name:HYACINTH
Middle Name:
Last Name:DENNIS-CROOKS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3772 CHEROKEE ST NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-2080
Mailing Address - Country:US
Mailing Address - Phone:404-432-5242
Mailing Address - Fax:
Practice Address - Street 1:3772 CHEROKEE ST NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-2080
Practice Address - Country:US
Practice Address - Phone:404-432-5242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X
GARN136934NP364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service