Individual
SARA LYNN SKILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
204 MEDSPRING DR, CLAYTON, NC 27520-9293
(919) 235-6505
(919) 235-6536
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-8991
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202018089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NC
Enumeration date
04/08/2022
Last updated
01/10/2023
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