MEDICARE: CHRISTINA MARIE HARRISON AGNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5011028	NC

General Provider Information

NPI Number	:	1245620079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE HARRISON AGNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 1231
Second Line	:
City	:	BRYSON CITY
State	:	NC
Zip	:	28713-1231
Country	:	US
Telephone Number	:	888-693-3410
Fax Number	:	828-538-4441

Provider Business Practice Location Address
First Line	:	10210 HICKORYWOOD HILL AVE STE 200
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3417
Country	:	US
Telephone Number	:	704-274-9084
Fax Number	:	828-538-4441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2015
Last Update Date	:	07/11/2022

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