Individual
MRS. NICOLE LEIGH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 833-3111
Mailing address
824 KINGS CROSS WAY, RALEIGH, NC 27615-1487
(919) 696-6926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
FOWL-V0Y11
NC
Other
Enumeration date
05/25/2020
Last updated
09/28/2021
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