Healthcare Provider Details

I. General information

NPI: 1639629751
Provider Name (Legal Business Name): CHRISTINA KLINGENSMITH MSN, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2016
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 JESSE HILL JR DR SE
ATLANTA GA
30303-3032
US

IV. Provider business mailing address

35 JESSE HILL JR DR SE
ATLANTA GA
30303-3032
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-9650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number48780
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN221867
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: