Healthcare Provider Details

I. General information

NPI: 1013636463
Provider Name (Legal Business Name): CHRISTOPHER VICTOR BARRON-GRAHAM MSN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 DOUGLAS ST STE 602
DURHAM NC
27705-6616
US

IV. Provider business mailing address

1104 RENEWAL PL
RALEIGH NC
27603-3663
US

V. Phone/Fax

Practice location:
  • Phone: 919-419-5500
  • Fax: 919-684-1734
Mailing address:
  • Phone: 650-464-5568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5016803
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number5016803
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: