Individual provider · Type 1 NPI

Christopher Blake Ennis, ACNPC-AG

Gerontology Nurse Practitioner · Macon, GA

NPI number 1740739853 Active

Practice location

777 Hemlock St
Macon, GA 31201-2102

Fax (478) 633-6269

Specialties and licenses

Taxonomy	Code	License
Gerontology Nurse Practitioner Primary	363LG0600X	RN201532 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1740739853

Christopher Blake Ennis, ACNPC-AG's National Provider Identifier is 1740739853, issued on Sep 30, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Macon, GA. The record was last updated on Sep 20, 2023.