Healthcare Provider Details

I. General information

NPI: 1629395041
Provider Name (Legal Business Name): KRISTEN GARCIA BSN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2010
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 POPLAR ROAD
NEWNAN GA
30265
US

IV. Provider business mailing address

60 HOSPITAL RD
NEWNAN GA
30263-1210
US

V. Phone/Fax

Practice location:
  • Phone: 770-400-3201
  • Fax: 770-304-7212
Mailing address:
  • Phone: 770-304-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN106401
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN-NP106401
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN106401NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: