NPI 1003415266

Christian R Fortenberry, FNP

Practitioner Family Nurse Practitioner Jackson, MS

Practice location

Address: 971 Lakeland Dr STE 557, Jackson, MS 39216-4661
Phone: (601) 200-4560
Fax: (601) 200-4580
Mailing address: 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 904008 (MS)

Other Nurse Practitioner providers in Mississippi →

Registry record

NPI: 1003415266
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2020
Record last updated: 2 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.