Individual provider · Type 1 NPI

Christian R. Fortenberry, FNP

Family Nurse Practitioner · Jackson, MS

NPI number 1003415266 Active

Practice location

971 Lakeland Dr Ste 557
Jackson, MS 39216-4661

Fax (601) 200-4580

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Other practice locations

  • 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 · (601) 499-0022

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904008 (MS)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1003415266

Christian R. Fortenberry, FNP's National Provider Identifier is 1003415266, issued on Oct 20, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Oct 2, 2025.