Individual
HEATHER LAVON FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MEDICAL PARK DR, STE 110, CONCORD, NC 28025-2948
(704) 403-1370
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007744
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
RN227059
GA
Other
Enumeration date
07/02/2015
Last updated
06/28/2023
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