Individual
KRISTY DEESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
901 DOGWOOD DR, FAIRMONT, NC 28340-2115
(910) 633-3498
Mailing address
901 DOGWOOD DR, FAIRMONT, NC 28340-2115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5024653
NC
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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