Provider Demographics
NPI:1073918025
Name:HUNT, VALERIE DAVIS (LPN)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:DAVIS
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:DAVIS
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:195 STILLBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-5358
Mailing Address - Country:US
Mailing Address - Phone:404-226-9081
Mailing Address - Fax:770-719-2796
Practice Address - Street 1:195 STILLBROOK WAY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-5358
Practice Address - Country:US
Practice Address - Phone:404-226-9081
Practice Address - Fax:770-719-2796
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-01
Last Update Date:2014-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN072783164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse