Provider Demographics
NPI:1659192995
Name:PIQUANT, MARIE YVES (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:YVES
Last Name:PIQUANT
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 HERB CT
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4166
Mailing Address - Country:US
Mailing Address - Phone:678-763-6650
Mailing Address - Fax:
Practice Address - Street 1:123 BROOKVIEW DR
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-8443
Practice Address - Country:US
Practice Address - Phone:678-763-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN246077163W00000X
GA2024084324363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse