Healthcare Provider Details

I. General information

NPI: 1871982603
Provider Name (Legal Business Name): KERRY NATASHA CRAIN RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 S RIDGECREST AVE
RUTHERFORDTON NC
28139-2838
US

IV. Provider business mailing address

288 S RIDGECREST AVE
RUTHERFORDTON NC
28139-2838
US

V. Phone/Fax

Practice location:
  • Phone: 828-286-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023089
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: