Healthcare Provider Details
I. General information
NPI: 1881227460
Provider Name (Legal Business Name): KATIE LYN ST. PIERRE PMHNP-BC, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/21/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
831 W MORGAN ST
RALEIGH NC
27603-1613
US
IV. Provider business mailing address
831 W MORGAN ST
RALEIGH NC
27603-1613
US
V. Phone/Fax
- Phone: 207-593-6592
- Fax:
- Phone: 207-593-6592
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | CNP221600 |
| License Number State | ME |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 5023391 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | CNP221600 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: