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General NPI Number Information
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NPI Number | 1558663971
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Entity Type | Individual
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Provider Name | KRISTA NIKIA KHALIK PMHNP-BC, MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 198 BROOKHAVEN DR
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City | CLAYTON
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State | NC
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Zip | 27527-6282
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Country | US
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Telephone | 516-661-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 198 BROOKHAVEN DR
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City | CLAYTON
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State | NC
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Zip | 27527-6282
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Country | US
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Telephone | 516-661-2727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5024415
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 346030
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 635350
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License Number State | NY
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