Individual
MRS. CARLEEN WILLEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
416 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3024
(843) 663-0933
(843) 663-0936
Mailing address
10 DOCTORS CIR, SUITE 2, SUPPLY, NC 28462-4089
(910) 755-6060
(910) 755-6061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201524
NC
363LF0000X
Family Nurse Practitioner
Primary
APN3204RX
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3024
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016UX
BCBS NC PROVIDER NUMBER
NC
05
—
8987642
—
NC
Enumeration date
04/24/2007
Last updated
11/06/2025
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