MEDICARE: KRISTI ELIZABETH FLEENOR NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0050-01122	NC

General Provider Information

NPI Number	:	1275589855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI ELIZABETH FLEENOR NP

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DRIVE
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7254
Country	:	US
Telephone Number	:	336-802-2400
Fax Number	:	336-802-2534

Provider Business Practice Location Address
First Line	:	4515 PREMIER DRIVE
Second Line	:	SUITE 203
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8356
Country	:	US
Telephone Number	:	336-802-2200
Fax Number	:	336-802-2201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	03/23/2010

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