Tresha Danyele Banks, NP
Nurse Practitioner in Hiram, GA. Individual provider (NPI-1).
NPI number1659920817
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1659920817
- Entity type
- Individual (NPI-1)
- Name
- Tresha Danyele Banks
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN251023 | GA | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | RN251023 | GA |
Practice location
144 Bill Carruth Pkwy Ste 4200Hiram, GA 30141-3819
Phone 678-324-4444
Mailing address
11361 Azalea TrlHampton, GA 30228-3230
Phone 404-245-2789
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