| NPI | 1275318800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHES RAGLAND KEARNEY Nurse Practitioner 252-767-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-05-26 |