Healthcare Provider Details

I. General information

NPI: 1124951736
Provider Name (Legal Business Name): CURRISSA JUANITA FERREIRA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 GEORGIA AVE STE 1
MACON GA
31201-7611
US

IV. Provider business mailing address

3408 BRIDGEWOOD DR
MACON GA
31216-4144
US

V. Phone/Fax

Practice location:
  • Phone: 478-250-1328
  • Fax:
Mailing address:
  • Phone: 478-228-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP312408
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: