Individual
MRS. CHRISHAUNDA LAKEISH VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2803 MEDICAL CAMPUS DR, SJAFB, GOLDSBORO, NC 27531-2310
(919) 722-1509
Mailing address
8390 SIX FORKS RD STE 204, RALEIGH, NC 27615-3060
(984) 298-0087
(919) 882-9653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007728
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5007728
NC
Other
Enumeration date
07/02/2015
Last updated
05/11/2026
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