Provider Demographics
NPI:1700261948
Name:HUNTER, GENNER AMISHEONNA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:GENNER
Middle Name:AMISHEONNA
Last Name:HUNTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7114 BOULDER PASS
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-5135
Mailing Address - Country:US
Mailing Address - Phone:404-644-9557
Mailing Address - Fax:
Practice Address - Street 1:7114 BOULDER PASS
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-5135
Practice Address - Country:US
Practice Address - Phone:404-644-9557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily