Individual
MRS. CARRIE DENISE FERNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
160 KIMEL FOREST DR STE 100, WINSTON SALEM, NC 27103-6084
(336) 883-0029
Mailing address
4745 CENTURY OAKS LN, WINSTON SALEM, NC 27106-8719
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5003982
NC
Other
Enumeration date
04/29/2008
Last updated
02/19/2025
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