Individual provider · Type 1 NPI
Deidra C. Favors, FNP
Student in an Organized Health Care Education/Training Program · Hampton, GA
NPI number
1083413827
Active
Practice location
11158 Knotty Pine Pl
Hampton, GA 30228-3294
Fax (678) 557-7674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Lanice Elaine FergusonStudent in an Organized Health Care Education/Training Program Hampton, GA NPI 1922571231
About NPI 1083413827
Deidra C. Favors, FNP's National Provider Identifier is 1083413827, issued on Mar 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hampton, GA. The record was last updated on Mar 12, 2025.