Provider Demographics
NPI:1790261535
Name:CHRISTOPHER, MARJORIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 KEITH DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:GA
Mailing Address - Zip Code:31069-4951
Mailing Address - Country:US
Mailing Address - Phone:478-988-1100
Mailing Address - Fax:478-988-8211
Practice Address - Street 1:1019 KEITH DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:GA
Practice Address - Zip Code:31069-4951
Practice Address - Country:US
Practice Address - Phone:478-988-1100
Practice Address - Fax:478-988-8211
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN186306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily