DEIDRA C. FAVORS FNP
NPI 1083413827
Student in an Organized Health Care Education/Training Program in Hampton, GA

Active since March 12, 2025
11158 KNOTTY PINE PL, HAMPTON, GA 30228(678) 557-7674(678) 557-7674 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deidra C. Favors Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRA C. FAVORS FNP (NPI 1083413827) is an individual student in an organized health care education/training program in Hampton, Georgia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1083413827
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEIDRA C. FAVORSCredential: FNP
Location Address11158 KNOTTY PINE PLHampton, GA 30228-3294
Mailing Address11158 Knotty Pine PlHampton, GA 30228-3294 · (678) 557-7674 · Fax (678) 557-7674
Fax(678) 557-7674
Sole ProprietorYes
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
NPI 1083413827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

11158 KNOTTY PINE PL, Hampton, GA 30228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidra Favors's NPI number?

The NPI number for Deidra Favors is 1083413827. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Deidra Favors located?

Deidra Favors practices at 11158 Knotty Pine Pl, Hampton, GA 30228. The listed phone number is (678) 557-7674.

What is Deidra Favors's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deidra Favors was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.