Provider Demographics
NPI:1528942448
Name:CONN, CHRISTIANNA
Entity type:Individual
Prefix:
First Name:CHRISTIANNA
Middle Name:
Last Name:CONN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTIANNA
Other - Middle Name:
Other - Last Name:LINDGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:8690 RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:VANCEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28586
Mailing Address - Country:US
Mailing Address - Phone:919-801-9996
Mailing Address - Fax:
Practice Address - Street 1:3681 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4090
Practice Address - Country:US
Practice Address - Phone:252-242-5116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022663363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty