Individual
MRS. EILEEN PAULINE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
105 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-7714
Mailing address
736 HENRY ST, ROANOKE RAPIDS, NC 27870-2611
(919) 538-8171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017321
NC
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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