Provider Demographics
NPI:1245620079
Name:HARRISON, CHRISTINA MARIE (AGNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MARIE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-1231
Mailing Address - Country:US
Mailing Address - Phone:888-693-3410
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:10210 HICKORYWOOD HILL AVE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3417
Practice Address - Country:US
Practice Address - Phone:704-274-9084
Practice Address - Fax:828-538-4441
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011028363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner