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Individual

MICHAEL JAMES WHITEHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 384-4925
(252) 384-4238
Mailing address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 384-4925
(252) 384-4238

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024178964
VA
363L00000X
Nurse Practitioner
Primary
239415
NC
363L00000X
Nurse Practitioner
5016726
NC
363LA2100X
Acute Care Nurse Practitioner
0024178964
VA

Other

Enumeration date
03/05/2020
Last updated
02/02/2023
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