Provider Demographics
NPI:1972139566
Name:CHRISTOPHER, STEFANIE (APRN, NP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:APRN, NP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 NEW GEORGIA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-6077
Mailing Address - Country:US
Mailing Address - Phone:770-480-9495
Mailing Address - Fax:
Practice Address - Street 1:845 S CARROLL RD STE A
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-7035
Practice Address - Country:US
Practice Address - Phone:770-400-9460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA184678363LF0000X
GARN184678363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily