MRS. Christian R Fortenberry, FNP
NPI #1003415266 in Jackson, Mississippi
Provider Information
- NPI Number
- 1003415266
- Entity Type
- Individual
- Name
- MRS. Christian R Fortenberry, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Oct 20, 2020
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 971 LAKELAND DR STE 557
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4661
- Phone
- (601) 200-4560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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