Individual
MARKIESHA WILLETTE EDGERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
250 NC-210, SMITHFIELD, NC 27577
(919) 989-4848
Mailing address
100 RIVER WATCH LN, YOUNGSVILLE, NC 27596-7569
(919) 740-5171
(949) 437-2922
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007689
NC
363LW0102X
Women's Health Nurse Practitioner
5007689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326420928
—
NC
Enumeration date
06/19/2015
Last updated
05/23/2024
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