Healthcare Provider Details

I. General information

NPI: 1164504429
Provider Name (Legal Business Name): KRISTEN JEAN BURNS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 DAVIDSON AVE
HIGH POINT NC
27260-8829
US

IV. Provider business mailing address

605 DAVIDSON AVE
HIGH POINT NC
27260-8829
US

V. Phone/Fax

Practice location:
  • Phone: 336-991-5225
  • Fax: 833-536-1829
Mailing address:
  • Phone: 336-991-5225
  • Fax: 833-536-1829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0050-02299
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: