Provider Demographics
NPI:1629651799
Name:HARPER, CHRISTINA FAITH (NP-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FAITH
Last Name:HARPER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 IRON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1530
Mailing Address - Country:US
Mailing Address - Phone:804-778-4747
Mailing Address - Fax:804-778-4487
Practice Address - Street 1:12200 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1530
Practice Address - Country:US
Practice Address - Phone:804-778-4747
Practice Address - Fax:804-778-4487
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180968364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health