Healthcare Provider Details

I. General information

NPI: 1245862168
Provider Name (Legal Business Name): KRISTEN HARPER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 HUFFMAN MILL RD
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

5551 MORGAN ST
TRINITY NC
27370-7674
US

V. Phone/Fax

Practice location:
  • Phone: 336-538-8093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: