Individual
CRAIG JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6715 MCCRIMMON PKWY STE 300, CARY, NC 27519-1916
(919) 481-4997
(919) 388-3271
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005322
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005105
—
NC
Enumeration date
10/07/2011
Last updated
05/10/2021
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