Provider Demographics
NPI:1881874782
Name:ANDREWS, REGINA LYNN (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:LYNN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PEACHTREE ST
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31545-0244
Mailing Address - Country:US
Mailing Address - Phone:888-818-0563
Mailing Address - Fax:228-284-0622
Practice Address - Street 1:624 W MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2787
Practice Address - Country:US
Practice Address - Phone:478-453-1806
Practice Address - Fax:478-453-1807
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN154122363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily