Individual
DEANNA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1745
Mailing address
2703 KINGSBERRY CT, JAMESTOWN, NC 27282-7795
(352) 697-1632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020299
NC
363LF0000X
Family Nurse Practitioner
825982
TX
Other
Enumeration date
02/20/2019
Last updated
04/05/2026
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