| Doctor Name: | PRISTELLA OHANAJA |
| NPI Number: | 1073967055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | RN170626 |
| Business Practice Address: | 1129 N 5th Street Ext Cordele, GA - 310153776 |
| Business Phone Number: | 2292734100 |
| Business Fax Number: | 2292730092 |
| Mailing Address: | Po Box 4881, MACON |
| State: | GA |
| Postal Code: | 312084881 |
| Phone Number: | 2292734100 |
| Fax Number: | 2292730092 |
| NPI Enumeration Date: | 04/15/2016 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN170626 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |