Healthcare Provider Details

I. General information

NPI: 1710854682
Provider Name (Legal Business Name): FLORENCE ELIZABETH HURST PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14949 N US HIGHWAY 25 E
CORBIN KY
40701-6285
US

IV. Provider business mailing address

14949 N US HIGHWAY 25 E
CORBIN KY
40701-6285
US

V. Phone/Fax

Practice location:
  • Phone: 606-280-4212
  • Fax:
Mailing address:
  • Phone: 606-280-4212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4047556
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: