=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306802822
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TRACI DAWN KNIGHT RN, FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2006
-----------------------------------------------------
Last Update Date | 09/25/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 FIRST ST
-----------------------------------------------------
City | COLEBROOK
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03576-3128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-237-4262
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 235 SPENCER ST
-----------------------------------------------------
City | HIGH POINT
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27265-2549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-260-0795
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 201709
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | EL31700
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------