Individual
LISA MARIE FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 GOLDSBORO ST S, WILSON, NC 27893-4903
(910) 783-6395
Mailing address
2025 FLOWER DR UNIT 4, WINTERVILLE, NC 28590-3414
(910) 783-6395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014103
NC
363LF0000X
Family Nurse Practitioner
F01210719
NC
Other
Enumeration date
02/16/2021
Last updated
03/25/2025
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