Individual
VINCENT KYLE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
37 PINEVILLE BLVD STE 101, CLAYTON, NC 27527-9355
(984) 215-5040
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(984) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5018595
NC
363LA2200X
Adult Health Nurse Practitioner
5018595
NC
363LG0600X
Gerontology Nurse Practitioner
5018595
NC
Other
Enumeration date
08/08/2023
Last updated
04/27/2026
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