Healthcare Provider Details
I. General information
NPI: 1699697052
Provider Name (Legal Business Name): ELIZABETH ANDREWS LINEBERRY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4355 BROWNS BRIDGE RD
CUMMING GA
30041-4554
US
IV. Provider business mailing address
4355 BROWNS BRIDGE RD STE 1
CUMMING GA
30041-4554
US
V. Phone/Fax
- Phone: 770-608-0842
- Fax:
- Phone: 770-771-5050
- Fax: 770-771-5051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN-NP192245 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: