Provider Demographics
NPI:1588308910
Name:HURLEY, ANNA SAMS (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:SAMS
Last Name:HURLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:SAMS
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1114 GA HIGHWAY 96 STE D3-D5
Mailing Address - Street 2:
Mailing Address - City:KATHLEEN
Mailing Address - State:GA
Mailing Address - Zip Code:31047-2111
Mailing Address - Country:US
Mailing Address - Phone:478-910-1090
Mailing Address - Fax:
Practice Address - Street 1:1114 GA HIGHWAY 96 STE D3-D5
Practice Address - Street 2:
Practice Address - City:KATHLEEN
Practice Address - State:GA
Practice Address - Zip Code:31047-2111
Practice Address - Country:US
Practice Address - Phone:478-910-1090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN294295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily