Provider Demographics
NPI:1184261638
Name:HUNTER, JUNE ERICKA (LPN)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:ERICKA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13044 RANGELEY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6181
Mailing Address - Country:US
Mailing Address - Phone:770-897-9947
Mailing Address - Fax:
Practice Address - Street 1:2591 CANDLER RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-6502
Practice Address - Country:US
Practice Address - Phone:678-209-2710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN083302164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse