Healthcare Provider Details

I. General information

NPI: 1740111202
Provider Name (Legal Business Name): KAITLIN BURNETTE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 AIRPORT RD
ARDEN NC
28704-8402
US

IV. Provider business mailing address

220 5TH AVE E
HENDERSONVILLE NC
28792-4377
US

V. Phone/Fax

Practice location:
  • Phone: 828-698-2979
  • Fax: 828-333-1679
Mailing address:
  • Phone: 828-692-4289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number347770
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: