Individual
MISS SARA JEAN DEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-5551
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 681-5551
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5006841
NC
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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