Provider Demographics
NPI:1326330697
Name:BURNS, CHRISTINA DONIELLE (APRN, PMHNP, FNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:DONIELLE
Last Name:BURNS
Suffix:
Gender:F
Credentials:APRN, PMHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 NE LOOP 286 STE 1800
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5086
Mailing Address - Country:US
Mailing Address - Phone:903-609-8812
Mailing Address - Fax:
Practice Address - Street 1:3605 NE LOOP 286 STE 1800
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5086
Practice Address - Country:US
Practice Address - Phone:903-609-8812
Practice Address - Fax:903-609-8813
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP120225363LP0808X
TX1670363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health