Provider Demographics
NPI:1568833986
Name:SCARLETT, CHRISTINA MONICA (MSN,APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MONICA
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:MSN,APRN, FNP-C
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:MONICA
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 N GROSS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-6277
Mailing Address - Country:US
Mailing Address - Phone:912-576-3880
Mailing Address - Fax:912-216-3287
Practice Address - Street 1:130 N GROSS RD STE 205
Practice Address - Street 2:
Practice Address - City:KINGSLAND
Practice Address - State:GA
Practice Address - Zip Code:31548-6277
Practice Address - Country:US
Practice Address - Phone:912-223-6955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN196491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00322700AGAMedicaid