Healthcare Provider Details

I. General information

NPI: 1093640112
Provider Name (Legal Business Name): SARAH KRISTINE KERSHNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W WOOD HILL DR STE D
NAGS HEAD NC
27959-9395
US

IV. Provider business mailing address

10225 S COLONY SOUTH DR
NAGS HEAD NC
27959-9003
US

V. Phone/Fax

Practice location:
  • Phone: 252-862-3224
  • Fax:
Mailing address:
  • Phone: 252-862-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5024698
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: