Individual
KAREN L CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3681 N MAIN ST, FARMVILLE, NC 27828-1464
(252) 753-7141
Mailing address
123 DUKE RD, WINTERVILLE, NC 28590-9578
(252) 945-7868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
152836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152836
NC BON
NC
Enumeration date
11/24/2014
Last updated
11/22/2024
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