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Individual

REBECCA ANN CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1125 HATCHES POND LN STE 101, MORRISVILLE, NC 27560-6294
(919) 467-7425
Mailing address
1125 HATCHES POND LN STE 101, MORRISVILLE, NC 27560-6294
(919) 467-7425

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.021679
OH
363LP0200X
Pediatric Nurse Practitioner
3006950
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
5013743
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201032890
IN
05
71001174030
KY
Enumeration date
06/15/2011
Last updated
09/05/2023
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