Provider Demographics
NPI:1689211492
Name:CHRISTIAN, ALLISON GRACE (AGACNP, RN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:GRACE
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:AGACNP, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:39 PINE RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9483
Mailing Address - Country:US
Mailing Address - Phone:828-301-7831
Mailing Address - Fax:
Practice Address - Street 1:571 S ALLEN RD
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-9447
Practice Address - Country:US
Practice Address - Phone:828-692-6178
Practice Address - Fax:828-692-2365
Is Sole Proprietor?:No
Enumeration Date:2019-12-01
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5012873363L00000X, 363LA2100X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care