Healthcare Provider Details

I. General information

NPI: 1285574962
Provider Name (Legal Business Name): ERIN FLETCHER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6228 BRADLEY PARK DR STE A
COLUMBUS GA
31904-3605
US

IV. Provider business mailing address

7966 IVY PARK DR
FORTSON GA
31808-6869
US

V. Phone/Fax

Practice location:
  • Phone: 706-322-1486
  • Fax: 706-324-3419
Mailing address:
  • Phone:
  • Fax: 706-324-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN240199
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: