Individual
CHRISTINA DISHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20808 N MAIN ST STE 102, CORNELIUS, NC 28031-8496
(704) 765-4430
(704) 705-2772
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487262762
—
NC
01
—
NNK108A950
MEDICARE PTAN
NC
Enumeration date
07/22/2020
Last updated
10/30/2023
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