Individual
MS. CAROL SUE RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 MEMORIAL DR STE A, JACKSONVILLE, NC 28546-6328
(910) 353-0700
(910) 353-5305
Mailing address
PO BOX 986513, DEPARTMENT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201761
NC
363LA2100X
Acute Care Nurse Practitioner
117615
NC
Other
Enumeration date
07/08/2006
Last updated
11/06/2023
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