Individual
MRS. MARISSA GAITHER HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1471 JAG BRANCH BLVD STE 103, KERNERSVILLE, NC 27284-6956
(336) 515-7410
(336) 515-7419
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011457
NC
363LF0000X
Family Nurse Practitioner
5011457
NC
Other
Enumeration date
02/08/2019
Last updated
10/26/2020
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