Individual
MRS. NICKEY LASHAE DIMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4984 US HIGHWAY 74 W, LUMBERTON, NC 28360-5689
(910) 785-1541
Mailing address
4984 US HIGHWAY 74 W, LUMBERTON, NC 28360-5689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
261373
NC
363LF0000X
Family Nurse Practitioner
Primary
5013835
NC
Other
Enumeration date
10/21/2020
Last updated
12/10/2020
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