Humphries, Rebecca Fondren
Humphries, Rebecca Fondren is an individual health care provider with primary practice located at 303 Smith Street Emory Clark Holder Clinic, Lagrange GA 30240. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Humphries, Rebecca Fondren can be contacted via phone (706) 882-8831.Contact Information
Primary practice address
303 Smith Street Emory Clark Holder Clinic
Lagrange GA 30240
Phone: (706) 882-8831
Fax: (706) 812-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN175845 NP | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN175845 NP | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN175845 NP | Georgia |
Profile Details
| NPI number | 1467606293 |
|---|---|
| LBN Legal business name | Humphries, Rebecca Fondren |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2008 |
| Last updated | Nov 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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