Provider Demographics
NPI:1225308927
Name:ASHTON, CHRISTINE O'ROURKE (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:O'ROURKE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:DERISE
Other - Last Name:O'ROURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-4200
Mailing Address - Country:US
Mailing Address - Phone:404-778-2700
Mailing Address - Fax:404-778-2830
Practice Address - Street 1:1525 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-3301
Practice Address - Country:US
Practice Address - Phone:404-778-2700
Practice Address - Fax:404-778-2860
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily