Individual
MS. MANDESIA ROCHELLE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
605 COLLEGE RD, GREENSBORO, NC 27410-4101
(866) 389-2727
Mailing address
605 COLLEGE RD, GREENSBORO, NC 27410-4101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009956
NC
Other
Enumeration date
10/11/2017
Last updated
06/28/2024
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