Provider Demographics
NPI:1932588837
Name:USRY, AUDREY CHRISITNE (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:CHRISITNE
Last Name:USRY
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 1:1941 PHINIZY RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-5173
Mailing Address - Country:US
Mailing Address - Phone:706-849-3623
Mailing Address - Fax:706-849-3628
Practice Address - Street 1:1941 PHINIZY RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-5173
Practice Address - Country:US
Practice Address - Phone:706-849-3623
Practice Address - Fax:706-849-3628
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA157231363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner