Provider Demographics
NPI:1164184479
Name:HURLEY, ELIZABETH CHRISTIAN (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CHRISTIAN
Last Name:HURLEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 JENNINGS MILL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-7292
Mailing Address - Country:US
Mailing Address - Phone:706-316-1908
Mailing Address - Fax:
Practice Address - Street 1:1361 JENNINGS MILL RD STE 201
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-7292
Practice Address - Country:US
Practice Address - Phone:706-316-1908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-13
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN176333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily