CHARISSE N FULLWOOD

RALEIGH, NC
NPI1154085629
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  0000000)
Enumeration Date2021-10-29
Last Update Date2021-12-06
Business Address
Miss CHARISSE N FULLWOOD PMHNP-BC
10901 WORLD TRADE BLVD
RALEIGH, NC 27617-4203
Phone number: 919-372-4408
Mailing Address
Miss CHARISSE N FULLWOOD PMHNP-BC
10901 WORLD TRADE BLVD
RALEIGH, NC 27617-4203
Phone number: 919-372-4408
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