Healthcare Provider Details

I. General information

NPI: 1669943320
Provider Name (Legal Business Name): KARI LOUCYE HURT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 PEACHTREE RD NW BLDG 775TH
ATLANTA GA
30309-1281
US

IV. Provider business mailing address

1968 PEACHTREE ROAD NW 77 BLDG, 5TH FLOOR
ATLANTA GA
30309
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5000
  • Fax:
Mailing address:
  • Phone: 404-605-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN195084
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: