Healthcare Provider Details

I. General information

NPI: 1487482824
Provider Name (Legal Business Name): HALEY JOYCE HULL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 FRIENDSHIP RD
BUFORD GA
30519-2600
US

IV. Provider business mailing address

1226 TIMBERLAND DR SE
MARIETTA GA
30067-5123
US

V. Phone/Fax

Practice location:
  • Phone: 770-209-2787
  • Fax:
Mailing address:
  • Phone: 404-610-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP283847
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: