Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | RN215939 | GA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN215939 | GA |
NPI | 1124538194 |
---|---|
Provider Name | Alison Evans Finnerty |
First Address | Athens, GA 30605-7721 |
Second Address | Athens, GA 30606-2797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 04/10/2017 |