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Individual

BONNIE K SAMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(704) 647-0515
Mailing address
611 MOCKSVILLE AVE, SALISBURY, NC 28144-2705
(704) 633-7220
(704) 647-0515

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224018
NC
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5006100
NC
363LF0000X
Family Nurse Practitioner
5006100
NC

Other

Enumeration date
02/01/2013
Last updated
02/21/2018
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