Provider Demographics
NPI:1225683626
Name:OJONGNFONG, CHRISTIANA ARUCK (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:ARUCK
Last Name:OJONGNFONG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 GROOVERS LAKE PT
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2487
Mailing Address - Country:US
Mailing Address - Phone:404-421-5020
Mailing Address - Fax:404-794-3009
Practice Address - Street 1:2645 WHITING ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4563
Practice Address - Country:US
Practice Address - Phone:404-799-9267
Practice Address - Fax:404-794-3009
Is Sole Proprietor?:No
Enumeration Date:2019-08-03
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN234920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily