Healthcare Provider Details

I. General information

NPI: 1164184479
Provider Name (Legal Business Name): ELIZABETH CHRISTIAN HURLEY PMHNP-C, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 SPOUT SPRINGS RD STE 3C
FLOWERY BRANCH GA
30542-6449
US

IV. Provider business mailing address

5900 SPOUT SPRINGS RD STE 3C
FLOWERY BRANCH GA
30542-6449
US

V. Phone/Fax

Practice location:
  • Phone: 646-687-9932
  • Fax: 479-239-8263
Mailing address:
  • Phone: 646-687-9932
  • Fax: 479-239-8263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN176333
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN176333
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: