in Rocky Mount - Nurse Practitioner

- NPI 1104878362

is a Nurse Practitioner in Rocky Mount, North Carolina. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1104878362. The last update date is .

's current location address is 116 N Circle Dr, Rocky Mount, North Carolina. You can contact this provider via phone number 2524510039 and fax number 8668015246. The mailing address for is 116 N Circle Dr, Rocky Mount, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 116 N Circle Dr, Rocky Mount, North Carolina
Phone Number 2524510039
Fax Number 8668015246
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1104878362
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 116 N Circle Dr
City Rocky Mount
State North Carolina (NC)
Post Code 278042401
Phone Number 2524510039
Fax Number 8668015246

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 241604
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
085F9 NC BLUE CROSS BLUE SHIELD
89085F9 NC --

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