Provider Demographics
NPI:1164184479
Name:HURLEY, ELIZABETH CHRISTIAN (PMHNP-C, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CHRISTIAN
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PMHNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SPOUT SPRINGS RD STE 3C
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-6449
Mailing Address - Country:US
Mailing Address - Phone:646-687-9932
Mailing Address - Fax:479-239-8263
Practice Address - Street 1:5900 SPOUT SPRINGS RD STE 3C
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-6449
Practice Address - Country:US
Practice Address - Phone:646-687-9932
Practice Address - Fax:479-239-8263
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN176333363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily