Provider Demographics
NPI:1174682892
Name:HAMSLEY, LINDA PETERSON (FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:PETERSON
Last Name:HAMSLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1597 EVERETT WOOD RD
Mailing Address - Street 2:
Mailing Address - City:OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:31068-5339
Mailing Address - Country:US
Mailing Address - Phone:229-938-6480
Mailing Address - Fax:478-302-5118
Practice Address - Street 1:342 CORDER RD STE B
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-3640
Practice Address - Country:US
Practice Address - Phone:478-302-5106
Practice Address - Fax:478-302-5118
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1015012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN113167OtherRN
GA1015012OtherADVANCED PRACTICE-NP