Healthcare Provider Details

I. General information

NPI: 1689660581
Provider Name (Legal Business Name): HEATHER JOHNS PERKINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E MOREHEAD ST STE 100
CHARLOTTE NC
28202-3195
US

IV. Provider business mailing address

801 E MOREHEAD ST STE 100
CHARLOTTE NC
28202-3195
US

V. Phone/Fax

Practice location:
  • Phone: 704-342-0252
  • Fax: 980-533-7801
Mailing address:
  • Phone: 704-342-0252
  • Fax: 980-533-7806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201970
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201970
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: