Provider Demographics
NPI:1528869807
Name:MALONGA, CLAUDINE MOMA (DNP, C-PNP-PC)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:MOMA
Last Name:MALONGA
Suffix:
Gender:F
Credentials:DNP, C-PNP-PC
Other - Prefix:
Other - First Name:CLAUDINE
Other - Middle Name:MOMA
Other - Last Name:KASONGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2216 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-3949
Mailing Address - Country:US
Mailing Address - Phone:770-875-1739
Mailing Address - Fax:
Practice Address - Street 1:4905 COURTNEY DR
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-1427
Practice Address - Country:US
Practice Address - Phone:404-366-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN315619363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics