Individual
REBECCA TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN
Contact information
Practice address
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 323-1543
(910) 483-2026
Mailing address
2587 RAVENHILL DR, FAYETTEVILLE, NC 28303-5451
(910) 323-1543
(910) 483-2026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006538
NC
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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