Search › Georgia › Nurse Practitioner
Ivy Fenin, NP
NPI 1780039131 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4120 Austell Rd
Austell, GA 30106 - Phone
- (678) 732-1500
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 563 Greyhawk Way, Fairburn, GA
- 3116 Highway 34 E, Newnan, GA
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia