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Individual
MICHELLE MARY JANE PEAY
Active
Individual
MICHELLE MARY JANE PEAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241224
NC BOARD OF NURSING - RN LICENSE
NC
01
—
5009016
NC BOARD OF NURSING - NP LICENSE
NC
Enumeration date
10/25/2016
Last updated
08/20/2021
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