Healthcare Provider Details

I. General information

NPI: 1144075532
Provider Name (Legal Business Name): CHRISTA HELEN NEARY DNP, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

IV. Provider business mailing address

1055 ALPHARETTA ST APT 217
ROSWELL GA
30075-3679
US

V. Phone/Fax

Practice location:
  • Phone: 856-357-2499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number300406
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: