Provider Demographics
NPI:1104871870
Name:HASTINGS, JUDITH ANN (APRN)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7760 US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:GA
Mailing Address - Zip Code:30217-8110
Mailing Address - Country:US
Mailing Address - Phone:706-675-8669
Mailing Address - Fax:770-675-3303
Practice Address - Street 1:7760 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:GA
Practice Address - Zip Code:30217-8110
Practice Address - Country:US
Practice Address - Phone:706-675-8669
Practice Address - Fax:770-675-3303
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN057772NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner