Provider Demographics
NPI:1497365803
Name:HURD, AMBER VALENTINE (NP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:VALENTINE
Last Name:HURD
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:VALENTINE
Other - Last Name:HURD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:881 USS JAMES MADISON RD
Mailing Address - Street 2:
Mailing Address - City:KINGS BAY
Mailing Address - State:GA
Mailing Address - Zip Code:31547-2531
Mailing Address - Country:US
Mailing Address - Phone:912-573-8801
Mailing Address - Fax:
Practice Address - Street 1:881 USS JAMES MADISON RD
Practice Address - Street 2:
Practice Address - City:KINGS BAY
Practice Address - State:GA
Practice Address - Zip Code:31547-2531
Practice Address - Country:US
Practice Address - Phone:912-573-8801
Practice Address - Fax:912-573-2597
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN293186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily