Individual
GRAYLYN LEWIS WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2800 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 637-7300
Mailing address
2800 VILLAGE WAY, TRENT WOODS, NC 28562-7305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013915
NC
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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