Individual
TEENA RUBY GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
160 MACGREGOR PINES DR STE 310A, CARY, NC 27511-6037
(919) 390-2848
(984) 246-1469
Mailing address
160 MACGREGOR PINES DR STE 310A, CARY, NC 27511-6037
(919) 390-2848
(984) 246-1469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5013295
NC
208600000X
Surgery Physician
5013295
NC
2086S0129X
Vascular Surgery Physician
5013295
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
5013295
NC
363L00000X
Nurse Practitioner
Primary
5013295
NC
363LA2100X
Acute Care Nurse Practitioner
5013295
NC
363LA2200X
Adult Health Nurse Practitioner
5013295
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
5013295
NC
363LG0600X
Gerontology Nurse Practitioner
5013295
NC
Other
Enumeration date
07/08/2020
Last updated
06/02/2026
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