Provider Demographics
NPI:1265524425
Name:GISNESS, CHRISTINE M (NP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:GISNESS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:49 JESSE HILL JR DR SE
Mailing Address - Street 2:SUITE127
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3049
Mailing Address - Country:US
Mailing Address - Phone:404-251-8850
Mailing Address - Fax:404-688-6351
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-616-4307
Practice Address - Fax:404-616-8022
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-07-13
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Provider Licenses
StateLicense IDTaxonomies
GARN064140363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care