Provider Demographics
NPI:1841754736
Name:MOUNTJOY, ERICA JANE HARBERGER (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:JANE HARBERGER
Last Name:MOUNTJOY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:JANE
Other - Last Name:HARBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1212 ANNA BROOK LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8228
Mailing Address - Country:US
Mailing Address - Phone:336-403-2040
Mailing Address - Fax:
Practice Address - Street 1:2800 BLUE RIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6477
Practice Address - Country:US
Practice Address - Phone:919-784-3324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily