Individual
MRS. CHARITY NNENNA IKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3545 CRUSE RD STE 103, LAWRENCEVILLE, GA 30044-3169
(770) 456-5666
Mailing address
2692 TRELLIS OAKS CT SW, MARIETTA, GA 30060-5407
(770) 444-3915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN171431
GA
363LF0000X
Family Nurse Practitioner
RN171431
GA
Other
Enumeration date
10/23/2011
Last updated
06/10/2020
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