Individual
MRS. BRIGITTE GINOU HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN116013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861571697
TRICARE
GA
05
—
1861571697
—
GA
05
—
277560101C
—
GA
Enumeration date
11/03/2006
Last updated
02/04/2025
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