Provider Demographics
NPI:1609421890
Name:PARAMORE, CHRISTA VAUGHAN (DNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:VAUGHAN
Last Name:PARAMORE
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:LEE
Other - Last Name:VAUGHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 371
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-0371
Mailing Address - Country:US
Mailing Address - Phone:478-864-3448
Mailing Address - Fax:478-864-1288
Practice Address - Street 1:100 N. ABC STREET
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-0000
Practice Address - Country:US
Practice Address - Phone:478-215-4009
Practice Address - Fax:478-864-1288
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6785363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health