Individual
MRS. ATHENA NICOLE PICKENPACK-COUSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-1000
Mailing address
PO BOX 1737, JAMESTOWN, NC 27282-1737
(336) 543-8212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011168
NC
Other
Enumeration date
11/26/2018
Last updated
09/20/2021
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