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Individual
MS. CHRISTINE B. FERRELLE
Active
Individual
MS. CHRISTINE B. FERRELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN052324
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN052324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004310307F
—
GA
05
—
000431307B
—
GA
01
—
10064966
AMERIGROUP
—
Enumeration date
12/18/2006
Last updated
07/19/2021
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