Fortenberry, Christian

Fortenberry, Christian is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 557 , Jackson MS 39216-4661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fortenberry, Christian can be contacted via phone (601) 200-4560.

Contact Information

Primary practice address
971 Lakeland Dr Ste 557 Jackson MS 39216-4661
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 904008 Mississippi

Profile Details

NPI number 1003415266
LBN Legal business name Fortenberry, Christian
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2020
Last updated Sep 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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