Healthcare Provider Details

I. General information

NPI: 1831381656
Provider Name (Legal Business Name): GEORGIA LYNN GRANT HORSLEY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5848 HIGHWAY 124 W
HOSCHTON GA
30548-5900
US

IV. Provider business mailing address

5848 HIGHWAY 124 W
HOSCHTON GA
30548-5900
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN143998
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License NumberRN143998
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: