Individual
HALEY DICKERSON UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3485 N MAIN ST, FARMVILLE, NC 27828-1466
(252) 753-3193
Mailing address
4366 NC HIGHWAY 39 S, LOUISBURG, NC 27549-8692
(919) 729-4194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017599
NC
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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