Dawn Sautters Harrison, FNP
Individual provider Active NPI Family Nurse Practitioner · Supply, NC
NPI 1346319282 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1346319282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201372 (NC)
- Practice address
- 13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093 - Phone
- (910) 754-5988
- Fax
- (910) 754-5989
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201372 | NC | MD | Registered Nurse |
| 39999 | NC | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Medical Centers, Inc | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Interoperability endpoints
- dharrison1149443@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 39999 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRN11018011 | FL | |
| Family Nurse Practitioner | 363LF0000X | 201372 | NC | Yes |
Addresses
Primary practice location
13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
2955 Brownwood Blvd
The Villages, FL 32163-2039
Phone (844) 884-9355
Other practice location 2
1234 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-1234 ext. 3530
Other practice location 3
1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone (844) 884-9355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC7992A | Other | NC | MEDICARE PTAN |
Other providers in Supply, NC
- Gina M. Hamilton
- Sabrina Elizabeth Harkey
- Carla Harper-Martinez
- Ryan Austin Harrell
- Hailey Harris
- Robert E Hassler
- Tina Maria Hatch
- Olivia Leigh Hintz
- Holden Beach Medical Center PA
- Holden Beach Medical Center, PA
All providers in Supply, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.