Individual
CHRISTINA IRENE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
1544 BASS RD, MACON, GA 31210-7510
(478) 471-4494
Mailing address
PO BOX 1894, PERRY, GA 31069-1894
(615) 522-8421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
187027
TN
163WM0705X
Medical-Surgical Registered Nurse
187027
TN
363L00000X
Nurse Practitioner
93502
TN
363L00000X
Nurse Practitioner
RN293292
GA
363LF0000X
Family Nurse Practitioner
93502
TN
363LF0000X
Family Nurse Practitioner
Primary
RN293292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN293292
ADVANCED PRACTICE REGISTERED NURSE - NP
GA
Enumeration date
09/05/2019
Last updated
06/03/2021
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