Provider Demographics
NPI:1447994157
Name:HARBOUR, CAROLINE YATES (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:YATES
Last Name:HARBOUR
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:GRACE
Other - Last Name:YATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-673-6470
Mailing Address - Fax:336-673-6489
Practice Address - Street 1:167 MOORE RD STE 201
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8770
Practice Address - Country:US
Practice Address - Phone:336-673-6470
Practice Address - Fax:336-673-6489
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016121363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner