Provider Demographics
NPI:1124538194
Name:FINNERTY, ALISON EVANS (APN, NNP-BC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:EVANS
Last Name:FINNERTY
Suffix:
Gender:F
Credentials:APN, NNP-BC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:COWLES
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:181 PINE RIDGE TRCE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-7721
Mailing Address - Country:US
Mailing Address - Phone:706-284-4243
Mailing Address - Fax:706-476-6876
Practice Address - Street 1:1199 PRINCE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2797
Practice Address - Country:US
Practice Address - Phone:706-475-3325
Practice Address - Fax:706-475-6876
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN215939363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal