Individual
MS. SUSAN NICOLE MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1090 MEDICAL CENTER DR, WILMINGTON, NC 28401-7353
(910) 662-8550
(910) 343-1924
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8550
(910) 343-1924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005114
NC
363LF0000X
Family Nurse Practitioner
5005114
NC
Other
Enumeration date
03/30/2011
Last updated
07/30/2024
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