Healthcare Provider Details

I. General information

NPI: 1982493136
Provider Name (Legal Business Name): KRISTEN L CONNORS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N MEDICAL DR
CHAPEL HILL NC
27599-5022
US

IV. Provider business mailing address

120 N MEDICAL DR
CHAPEL HILL NC
27599-5022
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4260
  • Fax:
Mailing address:
  • Phone: 919-966-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number309290
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: