SUNNY PROVENCE

FORT LIBERTY, NC
NPI1710394226
Former NameSUNNY PROVENCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP125791)
Enumeration Date2014-07-16
Last Update Date2024-04-05
Business Address
SUNNY PROVENCE FNP
WOMACK ARMY MEDICAL CENTER, MCXC-PC-WRC 2817 ROCK MERRITT AVE, STOP A
FORT LIBERTY, NC 28310-5000
Phone number: 910-907-8500
Mailing Address
SUNNY PROVENCE FNP
2817 ROCK MERRIT AVE EXECUTIVE MEDICINE
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-7827
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