Individual
CHRISTINA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3485 N MAIN ST, FARMVILLE, NC 27828-1466
(252) 753-3193
Mailing address
3485 N MAIN ST, FARMVILLE, NC 27828-1466
(252) 753-3193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014736
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
08/05/2021
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