Healthcare Provider Details

I. General information

NPI: 1336532498
Provider Name (Legal Business Name): LINDA CHARRON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2015
Last Update Date: 07/03/2025
Certification Date: 06/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 BRIAN CENTER DR
LEXINGTON NC
27292-6273
US

IV. Provider business mailing address

1029 CANTERING RD
HIGH POINT NC
27262-4506
US

V. Phone/Fax

Practice location:
  • Phone: 336-688-8726
  • Fax: 770-520-6415
Mailing address:
  • Phone: 336-688-8726
  • Fax: 770-520-6415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5007527
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: