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MRS. MODESTA S HANLEY FNP
NPI 1215115092
Nurse Practitioner - Family in Lilburn, GA

Active since February 05, 2008
4030 LAWRENVILLE HWY, GEORGIA CLINIC, PC, LILBURN, GA 30047(770) 921-4811 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Modesta S Hanley Fnp NPPES

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

MRS. MODESTA S HANLEY FNP (NPI 1215115092) is an individual family provider in Lilburn, Georgia, licensed in Georgia (RN098782 NP) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1215115092
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MODESTA S HANLEYCredential: FNP
Location Address4030 LAWRENVILLE HWY, GEORGIA CLINIC, PCLilburn, GA 30047
Mailing Address526 Trailside WayStone Mtn, GA 30087-5448 · (770) 469-7487
Phone(770) 921-4811
Sole ProprietorNo
Enumeration DateFebruary 5, 2008
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1215115092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN098782 NP
4030 LAWRENVILLE HWY, Lilburn, GA 30047
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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 Modesta Hanley's NPI number?

The NPI number for Modesta Hanley is 1215115092. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Modesta Hanley located?

Modesta Hanley practices at 4030 Lawrenville Hwy Georgia Clinic, PC, Lilburn, GA 30047. The listed phone number is (770) 921-4811.

What is Modesta Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Modesta Hanley was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.