Individual
NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 847-3897
Mailing address
126 EVANS MILL RD, NEW BERN, NC 28562-8789
(978) 495-6892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
239841
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5008656
NC
Other
Enumeration date
04/15/2016
Last updated
07/05/2016
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