Individual
NICOLE DESCHENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12925 HIGHWAY 601, SUITE 300, MIDLAND, NC 28107-9535
(704) 888-3702
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008521
NC
Other
Enumeration date
11/17/2011
Last updated
05/14/2019
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