CHRISTIAN R FORTENBERRY

JACKSON, MS
NPI1003415266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904008)
Enumeration Date2020-10-20
Last Update Date2025-10-02
Business Address
Mrs. CHRISTIAN R FORTENBERRY FNP
971 LAKELAND DR STE 557
JACKSON, MS 39216-4661
Phone number: 601-200-4560
Mailing Address
Mrs. CHRISTIAN R FORTENBERRY FNP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 601-200-4560