Healthcare Provider Details

I. General information

NPI: 1366317083
Provider Name (Legal Business Name): ELIZABETH RICE HURT DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 BENNOCK MILL RD
AUGUSTA GA
30906-8705
US

IV. Provider business mailing address

626 SILOS RD
BEECH ISLAND SC
29842-8046
US

V. Phone/Fax

Practice location:
  • Phone: 866-275-8650
  • Fax:
Mailing address:
  • Phone: 770-639-5458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number29231
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP002668
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: