| Doctor Name: | CHRISTY CHONG |
| NPI Number: | 1104271444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9229375 |
| Business Practice Address: | 264 Palm Coast Pkwy Ne # A Palm Coast, FL - 321378217 |
| Business Phone Number: | 3864465505 |
| Business Fax Number: | |
| Mailing Address: | 24 Arrowhead Dr, PALM COAST |
| State: | FL |
| Postal Code: | 321376903 |
| Phone Number: | 3865478355 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2016 |
| NPI Last Update Date: | 04/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9229375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |