Healthcare Provider Details

I. General information

NPI: 1497365803
Provider Name (Legal Business Name): AMBER VALENTINE HURD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER VALENTINE HURD

II. Dates (important events)

Enumeration Date: 08/01/2020
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 USS JAMES MADISON RD
KINGS BAY GA
31547-2531
US

IV. Provider business mailing address

881 USS JAMES MADISON RD
KINGS BAY GA
31547-2531
US

V. Phone/Fax

Practice location:
  • Phone: 912-573-8801
  • Fax: 912-573-2597
Mailing address:
  • Phone: 912-573-8801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN293186
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: