Provider Demographics
NPI:1114632395
Name:MCBURNEY, KIRSTEN JORGENSEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:JORGENSEN
Last Name:MCBURNEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 FAIRWAY SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28638-2440
Mailing Address - Country:US
Mailing Address - Phone:828-728-0900
Mailing Address - Fax:
Practice Address - Street 1:109 FAIRWAY SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-2440
Practice Address - Country:US
Practice Address - Phone:828-728-0900
Practice Address - Fax:828-728-0868
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine