Individual
DR. TERI CAROL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-C, FNP-C
Contact information
Practice address
310 MOCKSVILLE AVE, SALISBURY, NC 28144-3328
(704) 762-9630
Mailing address
2509 STEEPLECHASE RD, GASTONIA, NC 28056-0315
(047) 718-4755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201161
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500028327
RAILROAD MEDICARE
NC
05
—
6113008
—
NC
05
—
7000313
—
NC
Enumeration date
04/14/2006
Last updated
07/06/2022
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