Individual
NICOLE RENEE ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
300 KELLY RD, PINEHURST, NC 28374-8099
(910) 420-0226
Mailing address
100 FLYFOOT DR, STEPHENSON, VA 22656-1955
(304) 670-6877
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024179001
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5017739
NC
Other
Enumeration date
07/27/2019
Last updated
07/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us