Individual
CAROL JEAN EVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
208069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254410
—
IN
Enumeration date
06/15/2006
Last updated
05/22/2012
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