Individual
MRS. MARCY CARPENTER BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
Mailing address
234 WOODHAVEN RD, NORTH WILKESBORO, NC 28659-7640
(336) 990-1995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014120
NC
363L00000X
Nurse Practitioner
BRYA-ROE54
NC
Other
Enumeration date
02/17/2021
Last updated
04/06/2021
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