Individual
KIMBERLY STEPHENIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 983-2636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009565
NC
363LF0000X
Family Nurse Practitioner
270275
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009565
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19SN9
BCBS
NC
Enumeration date
05/16/2017
Last updated
01/28/2026
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