Individual
MAKAYLA TYSINGER BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
147 PEACHTREE LN, BERMUDA RUN, NC 27006-6753
(336) 713-2290
Mailing address
147 PEACHTREE LN, BERMUDA RUN, NC 27006-6753
(336) 577-5306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
314425
NC
363LF0000X
Family Nurse Practitioner
Primary
5019093
NC
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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