Individual
MS. NANCY WISE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6845 HIGHWAY 135, MCMICHAEL HIGH SCHOOL, MAYODAN, NC 27027
(336) 427-4335
(336) 427-4335
Mailing address
117 EAST KINGS HIGHWAY, MOREHEAD MEMORIAL HOSPITAL, EDEN, NC 27288
(336) 623-9711
(336) 623-2434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
036587
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
300219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1248J
BLUE CROSS BLUE SHIELD
NC
05
—
7000158
—
NC
Enumeration date
11/13/2006
Last updated
03/18/2013
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