Individual
ERICA MATHIS SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 716-2255
Mailing address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 903-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011954
NC
363LF0000X
Family Nurse Practitioner
5011954
NC
Other
Enumeration date
07/09/2019
Last updated
05/20/2021
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