NPI 1104171446 · live from the CMS NPI Registry
Yentl Butler, NP
Nurse Practitioner, Family in Dacula, GA. National Provider Identifier 1104171446, active.
NPI record
| NPI | 1104171446 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3027 Jim Moore Rd, Dacula, GA 30019 |
| Practice phone | 866-389-2727 |
| Enumerated | July 23, 2012 |
| Last updated | September 5, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | RN184069 (GA) |
| Registered Nurse, General Practice | 163WG0000X | RN184069 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.