Provider Demographics
NPI:1346125481
Name:PATTERSON, KRISTA COPPOLA (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:KRISTA
Middle Name:COPPOLA
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18936 BALMORE PINES LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5214
Mailing Address - Country:US
Mailing Address - Phone:843-276-0605
Mailing Address - Fax:
Practice Address - Street 1:18936 BALMORE PINES LN
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-5214
Practice Address - Country:US
Practice Address - Phone:843-276-0605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06251024363LF0000X
NC2025034382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily