IndividualActive
Christopher Ennis, ACNPC-AG
NPI 1740739853 · Gerontology Nurse Practitioner · Macon, GA
Provider details
- NPI number
- 1740739853
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- No
- License
- RN201532 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
777 Hemlock St
Macon, GA 31201-2102
Phone: (478) 633-6272
Fax: (478) 633-6269
Approximate (ZIP-level) locationGet directions
Mailing address
777 Hemlock St
Macon, GA 31201-2102
Registry dates
- Enumerated
- 2016-09-30
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.