Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kourtney Danielle Chang, FNP-C

Individual provider Family Nurse Practitioner · NPI 1477306090

Kourtney Danielle Chang, FNP-C is a Nurse Practitioner in Clarkston, Georgia. Qualified in 2023, 3 years ago. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

869 Market Way
Clarkston, GA 30021-2530
Phone: (347) 387-4487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP305467 (GA)

Record details

NPI number1477306090
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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