Doctor Name: | DEBRA ANN HURST |
NPI Number: | 1578692596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN0000090932 |
Business Practice Address: | 725 E Poplar Ave Selmer, TN - 383751800 |
Business Phone Number: | 7316453474 |
Business Fax Number: | 7316454530 |
Mailing Address: | Po Box 424, SELMER |
State: | TN |
Postal Code: | 383750424 |
Phone Number: | 7316453474 |
Fax Number: | 7316454530 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN0000090932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |