Healthcare Provider Details

I. General information

NPI: 1952206179
Provider Name (Legal Business Name): JOHNATHAN BURNETTE PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 HENDERSONVILLE RD STE 1
ARDEN NC
28704-2734
US

IV. Provider business mailing address

4680 PEA RIDGE RD
MORGANTON NC
28655-9596
US

V. Phone/Fax

Practice location:
  • Phone: 828-608-0892
  • Fax:
Mailing address:
  • Phone: 828-228-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5025656
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: