Individual provider · Type 1 NPI
Crista Jonte' Ivory, NP
Family Nurse Practitioner · Newnan, GA
NPI number
1346737582
Active
Practice location
772 Greison Trl Ste H
Newnan, GA 30263-1498
Mailing address
70 Jefferson Pkwy Apt G
Newnan, GA 30263-5855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN270057 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346737582
Crista Jonte' Ivory, NP's National Provider Identifier is 1346737582, issued on Apr 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newnan, GA. The record was last updated on Apr 13, 2018.