Provider Demographics
NPI:1881372449
Name:LARMON, CHRISTINA LEA (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEA
Last Name:LARMON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KEMPTON LN UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-7146
Mailing Address - Country:US
Mailing Address - Phone:706-483-8788
Mailing Address - Fax:
Practice Address - Street 1:650 COLLEGE DR # HP266
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3778
Practice Address - Country:US
Practice Address - Phone:706-272-2532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN233460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily