Provider Demographics
NPI:1548877749
Name:GUYTON, DANYELL JOELLE (FNP-C)
Entity type:Individual
Prefix:
First Name:DANYELL
Middle Name:JOELLE
Last Name:GUYTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BALLARD CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9605
Mailing Address - Country:US
Mailing Address - Phone:210-454-0507
Mailing Address - Fax:
Practice Address - Street 1:215 BALLARD CIR
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9605
Practice Address - Country:US
Practice Address - Phone:210-454-0507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN196443363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily