Individual provider · NPI-1

Mona K Abukhaled, CPNP-PC

Nurse Practitioner, Pediatrics · Columbus, GA

NPI number1740571561
StatusActive
Last updated in NPPESJul 16, 2024

Details

NPI
1740571561
Entity type
Individual (NPI-1)
Name
Mona K Abukhaled
Credential
CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2011
Certification date
Jul 16, 2024
Last updated
Jul 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics1115HIYes
363LP0200X Nurse Practitioner, PediatricsAPRN-1115HI

Practice location

2416 Capstone Ct
Columbus, GA 31909-2795

Phone 706-327-1281 · Fax 706-576-9714

Mailing address

5538 Roaring Branch Rd
Columbus, GA 31904-2830

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