Provider Demographics
NPI:1225308927
Name:ASHTON, CHRISTINE O'ROURKE (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:O'ROURKE
Last Name:ASHTON
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:DERISE
Other - Last Name:O'ROURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 TIPTON DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1603
Mailing Address - Country:US
Mailing Address - Phone:770-800-3455
Mailing Address - Fax:770-450-8024
Practice Address - Street 1:73 PRESTIGE LN STE 101
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6370
Practice Address - Country:US
Practice Address - Phone:770-800-3455
Practice Address - Fax:770-450-8024
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198739363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily