Individual
NAKISHA LACHELLE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2090 S US 29 HWY, CHINA GROVE, NC 28023-8650
(704) 403-6800
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017899
NC
363LF0000X
Family Nurse Practitioner
Primary
5017899
NC
Other
Enumeration date
04/11/2023
Last updated
07/15/2024
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