Individual
DR. KATHERINE H PEPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP, CPMHS,
Contact information
Practice address
2473 WENDELL BLVD, WENDELL, NC 27591-6903
(919) 622-0255
(949) 437-2099
Mailing address
5205 DEERGRASS CT, RALEIGH, NC 27613-6568
(919) 862-7633
(949) 437-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
215733
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
215733
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
215733
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5004284
NC STATE LICENSE
NC
05
—
7004663
—
NC
Enumeration date
01/29/2009
Last updated
05/28/2019
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