Healthcare Provider Details

I. General information

NPI: 1295651487
Provider Name (Legal Business Name): ABBY CALHOUN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E WASHINGTON AVE
ASHBURN GA
31714-5248
US

IV. Provider business mailing address

317 E WASHINGTON AVE
ASHBURN GA
31714-5248
US

V. Phone/Fax

Practice location:
  • Phone: 229-567-4414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP291582
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: