Individual
NICOLE CLARK BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
503 BOWMAN GRAY DR, GREENVILLE, NC 27834-7286
(252) 816-4001
Mailing address
2819 WINTON PL, HILLSBOROUGH, NC 27278-7569
(919) 475-8893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016292
NC
Other
Enumeration date
06/02/2022
Last updated
08/25/2022
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