Individual
MRS. SALLIE N HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1196 LEGACY FARE DR, PLEASANT GARDEN, NC 27313-9721
(336) 617-8009
Mailing address
1196 LEGACY FARE DR, PLEASANT GARDEN, NC 27313-9721
(336) 617-8009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183277
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0050-01544
NC
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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