Provider Demographics
NPI:1790199172
Name:OJA, KRISTIN CORBIN (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:CORBIN
Last Name:OJA
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 BRISTOL DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2536
Mailing Address - Country:US
Mailing Address - Phone:404-731-6868
Mailing Address - Fax:
Practice Address - Street 1:6085 FORREST DR NE
Practice Address - Street 2:300 B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328
Practice Address - Country:US
Practice Address - Phone:404-847-9555
Practice Address - Fax:404-855-2885
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily