Healthcare Provider Details

I. General information

NPI: 1811315948
Provider Name (Legal Business Name): NEDRA LATOYA HUNTER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2014
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 VETERANS PKWY
COLUMBUS GA
31904-9001
US

IV. Provider business mailing address

9276 COLLINWOOD DR
MIDLAND GA
31820-4278
US

V. Phone/Fax

Practice location:
  • Phone: 706-321-6411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number198782
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: