Individual
DARA DOCKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2070
(252) 744-2417
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518446913
—
NC
01
—
19YYK
BCBS OF NC
NC
01
—
NN5443A
MEDICARE
NC
01
—
NN5443B
MEDICARE
NC
Enumeration date
08/07/2018
Last updated
02/07/2024
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