Individual
KATELYN SARA HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 ALEXIS DR, NEW BERN, NC 28562-6411
(215) 431-5293
Mailing address
511 ALEXIS DR, NEW BERN, NC 28562-6411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012747
NC
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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