Provider Demographics
NPI:1609031087
Name:HUNT, GWENDOLYN JOAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:GWENDOLYN
Middle Name:JOAN
Last Name:HUNT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 HARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-7074
Mailing Address - Country:US
Mailing Address - Phone:706-751-0193
Mailing Address - Fax:
Practice Address - Street 1:2821 HARWOOD DR
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-7074
Practice Address - Country:US
Practice Address - Phone:706-751-0193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN092224374T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel