CANDICE SHERESE STALLWORTH

ROCKY MOUNT, NC
NPI1558994491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NC  5013060)
Additional Taxonomies163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: NC  232478)
Enumeration Date2020-02-19
Last Update Date2020-08-03
Business Address
MRS. CANDICE SHERESE STALLWORTH MSN, PMHNP-BC
2301 MEDPARK DR
ROCKY MOUNT, NC 27804-2288
Phone number: 252-962-5410
Mailing Address
MRS. CANDICE SHERESE STALLWORTH MSN, PMHNP-BC
2301 MEDPARK DR
ROCKY MOUNT, NC 27804-2288
Phone number: 252-962-5410