Provider Demographics
NPI:1407823370
Name:CHAPMAN, PATRICIA LUREE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LUREE
Last Name:CHAPMAN
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 1:667 LANIER PARK DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2059
Mailing Address - Country:US
Mailing Address - Phone:770-532-7501
Mailing Address - Fax:
Practice Address - Street 1:207 ADAMS DR
Practice Address - Street 2:
Practice Address - City:DEMOREST
Practice Address - State:GA
Practice Address - Zip Code:30535-4501
Practice Address - Country:US
Practice Address - Phone:706-754-5191
Practice Address - Fax:706-754-1725
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA073371363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00630979CMedicaid
GAR75411Medicare UPIN
GA00630979CMedicaid