Individual
SAMUEL JAMES PEICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-C
Contact information
Practice address
301 E WENDOVER AVE STE 411, GREENSBORO, NC 27401-1211
(336) 832-3210
(336) 890-5523
Mailing address
4300 QUAIL CANYON CT, GREENSBORO, NC 27410-9091
(336) 601-1012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ROAX34E4
NC
363L00000X
Nurse Practitioner
Primary
5022960
NC
Other
Enumeration date
06/14/2024
Last updated
04/17/2026
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