Individual
MRS. KIMBERLY ELIZABETH TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12701 US 70 BUSINESS HWY W, CLAYTON, NC 27520-2195
(919) 350-0365
Mailing address
84 PAMELA LN, CLAYTON, NC 27527-4526
(919) 210-1408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014626
NC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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