Healthcare Provider Details

I. General information

NPI: 1952240608
Provider Name (Legal Business Name): YAKIRA HAMILTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 WATSON BLVD
WARNER ROBINS GA
31093-3431
US

IV. Provider business mailing address

2336 HASTINGS MANOR LN
LOVEJOY GA
30228-6499
US

V. Phone/Fax

Practice location:
  • Phone: 478-922-4261
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP308478
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: