Individual provider · Type 1 NPI

Christina Marie Van Gennep, ARNP

Neonatal Nurse Practitioner · Dothan, AL

NPI number 1962766410 Active

Practice location

1108 Ross Clark Cir
Dothan, AL 36301-3022

Fax (334) 793-8093

Mailing address

7027 Hugh Dr
Panama City, FL 32404-8420

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X1-181102 (AL)
Neonatal Nurse Practitioner Primary 363LN0000XARNP9262470 (FL)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1962766410

Christina Marie Van Gennep, ARNP's National Provider Identifier is 1962766410, issued on Jun 29, 2012. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Dothan, AL. The record was last updated on Aug 9, 2025.