Healthcare Provider Details

I. General information

NPI: 1710660121
Provider Name (Legal Business Name): CHRISTINA HARKNESS AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3103 DIXIE HWY
HAMILTON OH
45015-1653
US

IV. Provider business mailing address

173 IRELAND AVE
CINCINNATI OH
45218-1126
US

V. Phone/Fax

Practice location:
  • Phone: 513-646-5534
  • Fax:
Mailing address:
  • Phone: 513-646-5534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0038751
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN359031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: