Individual
SHENITA ADAMS DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
15306 CATAWBA CIR S, MATTHEWS, NC 28104-5132
(704) 886-4007
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5013147
NC
363LG0600X
Gerontology Nurse Practitioner
5013147
NC
363LP2300X
Primary Care Nurse Practitioner
5013147
NC
Other
Enumeration date
05/15/2020
Last updated
05/29/2020
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