Individual provider · Type 1 NPI
Kourtney Danielle Chang, FNP-C
Family Nurse Practitioner · Clarkston, GA
NPI number
1477306090
Active
Practice location
869 Market Way
Clarkston, GA 30021-2530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN-NP305467 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477306090
Kourtney Danielle Chang, FNP-C's National Provider Identifier is 1477306090, issued on Apr 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarkston, GA. The record was last updated on Oct 29, 2025.