Individual
PRISTELLA OHANAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1129 N 5TH STREET EXT, CORDELE, GA 31015-3776
(229) 273-4100
(229) 273-0092
Mailing address
PO BOX 4881, MACON, GA 31208-4881
(229) 273-4100
(229) 273-0092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN170626
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN170626
GA
Other
Enumeration date
04/15/2016
Last updated
05/31/2022
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